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Individual

DR. SIDDHARTH ARVIND KAKODKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2040 OGDEN AVE, SUITE 401, AURORA, IL 60504-7206
(630) 585-7100
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800
(630) 907-3993

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CLP00493
RI
207R00000X
Internal Medicine Physician
LP00493
RI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036-117908
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036117908
IL
Enumeration date
01/29/2007
Last updated
11/18/2021
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