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Individual

JAMES KUDRNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1884 OLD WILLOW RD UNIT 1A, NORTHFIELD, IL 60093-2956
(847) 975-1562
Mailing address
1884 OLD WILLOW RD UNIT 1A, NORTHFIELD, IL 60093-2956
(847) 975-1562

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-055039
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036055039
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-055039
IL
Enumeration date
06/19/2006
Last updated
03/08/2024
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