Organization
SURENDER KUMAR, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURENDER KUMAR M.D. (PHYSICIAN / OWNER)
(630) 718-0200
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232086
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
02/17/2006
Last updated
10/29/2019
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