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Individual

MALINI KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
5207 MAIN ST, DOWNERS GROVE, IL 60515-4652
(630) 964-6049
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036134625
IL
208000000X
Pediatrics Physician
281123
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
05
036134625
IL
Enumeration date
06/20/2011
Last updated
08/09/2023
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