Individual
DR. SAMPATH P KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13755 CICERO AVE, CRESTWOOD, IL 60445-1824
(888) 220-6432
(708) 385-7840
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-096960
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-096-960
—
IL
Enumeration date
09/22/2005
Last updated
05/14/2015
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