Organization
MEDICAL ASSOCIATES OF KANKAKEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARITOSH TIWARI MD (OWNER)
(815) 937-4880
Entity
Organization
Contact information
Practice address
555 W COURT ST, SUITE414, KANKAKEE, IL 60901-3664
(815) 937-4880
(815) 936-5173
Mailing address
375 N WALL ST, P610, KANKAKEE, IL 60901-3483
(815) 937-4880
(978) 327-7839
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
02/28/2013
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