Individual
KEVIN P. CULLINANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7411 LAKE ST, SUITE 1120, RIVER FOREST, IL 60305-1876
(708) 488-1490
(708) 488-2394
Mailing address
7411 LAKE ST, SUITE 1120, RIVER FOREST, IL 60305-1876
(708) 488-1490
(708) 488-2394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-072179
IL
Other
Enumeration date
06/23/2006
Last updated
05/19/2022
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