Individual
MR. KAMAL K CHOPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 N BROAD ST, CARLINVILLE, IL 62626-1021
(217) 854-9411
(217) 854-2858
Mailing address
604 N BROAD ST, CARLINVILLE, IL 62626-1021
(217) 854-9411
(217) 854-2858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-057724
IL
207R00000X
Internal Medicine Physician
036057724
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057724
—
IL
05
—
371406119001
—
IL
Enumeration date
07/07/2005
Last updated
08/04/2020
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