Individual
AMRENDRA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5625 W 79TH ST, BURBANK, IL 60459-1349
(630) 674-1187
(630) 226-9510
Mailing address
101 ROYCE RD, SUITE 16, BOLINGBROOK, IL 60440-1458
(630) 674-1187
(630) 226-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005453
IL
Other
Enumeration date
03/25/2009
Last updated
05/06/2009
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