Individual
KAMAL SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5753
(312) 695-5645
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5753
(312) 695-5645
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036157755
IL
2085R0202X
Diagnostic Radiology Physician
125.073500
IL
Other
Enumeration date
06/11/2019
Last updated
10/29/2021
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