Individual
DR. TODD S KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13303 S RIDGELAND AVE, SUITE B, PALOS HEIGHTS, IL 60463-1815
(708) 857-7990
Mailing address
13303 S RIDGELAND AVE, SUITE B, PALOS HEIGHTS, IL 60463-1815
(708) 857-7990
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036068842
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068842
—
IL
Enumeration date
05/03/2006
Last updated
08/15/2013
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