Individual
KUMAR NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 HALIGUS RD, HUNTLEY, IL 60142
(815) 759-4520
(815) 338-6297
Mailing address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(815) 759-4520
(815) 338-6297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036109506
IL
208M00000X
Hospitalist Physician
Primary
036109506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036109506
STATE LICENSE
IL
05
—
036109506
—
IL
Enumeration date
07/21/2006
Last updated
10/19/2018
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