Individual
DR. SURENDER KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6084 S ARCHER AVE, SUITE 102, CHICAGO, IL 60638-2747
(773) 884-4280
(630) 953-2347
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
(630) 288-6200
(855) 781-4084
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036054014
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054014
—
IL
Enumeration date
02/21/2006
Last updated
12/20/2021
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