Individual
MS. MARILYN D. KUMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
236 TIMBER HILL RD, BUFFALO GROVE, IL 60089-1927
(847) 947-7311
Mailing address
236 TIMBER HILL RD., BUFFALO GROVE, IL 60089
(847) 947-7311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041221986
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041221986
—
IL
Enumeration date
08/11/2006
Last updated
07/08/2007
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