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Individual

DR. HONGKAI KEVIN DU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4700 MEMORIAL DRIVE, SUITE 230 (PAIN CENTER), 4500 MEMORIAL DRIVE (MEMORIAL HOSPITAL), BELLEVILLE, IL 62226
(618) 257-5902
(618) 257-6671
Mailing address
PO BOX 24001, BELLEVILLE, IL 62223-9001
(618) 767-3814
(618) 257-6671

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036111184
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
36111184
IL
208100000X
Physical Medicine & Rehabilitation Physician
36111184
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
36111184
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
36111184
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036111184
IL
Enumeration date
09/26/2006
Last updated
01/30/2023
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