Individual
SAMIR T KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2340 S HIGHLAND AVE STE 160, LOMBARD, IL 60148
(630) 495-9356
(630) 495-3770
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036105162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105162
—
IL
01
—
1616108
BCBS
IL
01
—
390008787
RR MEDICARE INDIVIDUAL
IL
01
—
C30486
RR MEDICARE GROUP
IL
Enumeration date
07/08/2005
Last updated
01/25/2023
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