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Individual

DR. MANJARI KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12255 S 80TH AVE, SUITE 202, PALOS HEIGHTS, IL 60463
(708) 923-7880
(708) 923-7888
Mailing address
200 N HAMMES, SUITE 3, JOLIET, IL 60435
(815) 744-8253

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0991516762
BCBS
IL
01
213479
VALUE BEHAVIORAL HEALTH
IL
01
219043
MAGELLAN
IL
01
363827229 06
JOHN HANCOCK
IL
01
7229P
CATERPILLAR
IL
Enumeration date
10/04/2006
Last updated
07/08/2007
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