Individual
KIRITKUMAR D TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
656 WENTWORTH AVE, CALUMET CITY, IL 60409-4221
(708) 862-8341
(708) 862-4880
Mailing address
656 WENTWORTH AVE, CALUMET CITY, IL 60409-4221
(708) 862-8341
(708) 862-4880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TR703720
—
IN
Enumeration date
10/16/2006
Last updated
07/08/2007
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