Individual
SHAUN KURIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 W DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-7997
Mailing address
1775 W DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-7997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036120790
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036-120790
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428142000
—
MN
Enumeration date
02/17/2006
Last updated
06/11/2014
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