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Individual

DR. SHIVKUMAR PANDIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 E OGDEN AVE, SUITE 106, HINSDALE, IL 60521-3542
(630) 560-6015
(630) 757-4140
Mailing address
120 E OGDEN AVE, SUITE 106, HINSDALE, IL 60521-3542
(630) 560-6015
(630) 757-4140

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036130036
IL
2084P0802X
Addiction Psychiatry Physician
036130036
IL
2084P0802X
Addiction Psychiatry Physician
13267
NV

Other

Enumeration date
07/03/2008
Last updated
12/02/2020
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