Individual
KIRTIKUMAR P TALSANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 YELLOW STAR CT, WOODRIDGE, IL 60517-1702
(630) 969-8845
(630) 969-8845
Mailing address
5 YELLOW STAR CT, WOODRIDGE, IL 60517-1702
(630) 969-8845
(630) 969-8845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036054484
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054484
—
IL
Enumeration date
06/25/2006
Last updated
04/29/2010
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