Individual
DR. MEENA KISHOR KUDALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6311 W 95TH ST, OAK LAWN, IL 60453-2201
(708) 423-2258
(708) 423-2305
Mailing address
6311 W 95TH ST, OAK LAWN, IL 60453-2201
(708) 423-2258
(708) 423-2305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036061350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050051124
RR MEDICARE
IL
Enumeration date
02/01/2006
Last updated
10/08/2008
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