Individual
DR. PRADEEP S KULKARNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
543 W MILLER ST, SPRINGFIELD, IL 62702-4978
(217) 522-5596
(217) 522-5599
Mailing address
543 W MILLER ST, SPRINGFIELD, IL 62702-4978
(217) 522-5596
(217) 522-5599
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036057354
IL
207RP1001X
Pulmonary Disease Physician
Primary
036057354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360573541
—
IL
Enumeration date
05/16/2006
Last updated
07/17/2017
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