Individual
DR. DALIUS KEDAINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
16519 S ROUTE 59 STE D, PLAINFIELD, IL 60586-2606
(815) 436-4208
(815) 436-5025
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036114940
IL
207R00000X
Internal Medicine Physician
Primary
036114940
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114940
—
IL
05
—
507216703
—
MO
01
—
P00410109
RAILROAD MEDICARE
MO
Enumeration date
09/13/2006
Last updated
08/09/2023
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