Individual
MR. SUNIL N KADAKIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 W NORTHEAST HWY, #100, FOX RIVER GROVE, IL 60021
(847) 516-2424
(847) 750-0390
Mailing address
912 W NORTHEAST HWY, #100, FOX RIVER GROVE, IL 60021
(847) 516-2424
(847) 750-0390
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036074104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074107
—
IL
01
—
05625392
BLUE CROSS & BLUE SHIELD
IL
01
—
060067326
RAILROAD MEDICARE
IL
Enumeration date
11/03/2006
Last updated
07/26/2016
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