Organization
MIDWEST GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEEV KUMAR MD (MANAGING PARTNER)
(708) 245-4073
Entity
Organization
Contact information
Practice address
6101 S COUNTY LINE RD, BURR RIDGE, IL 60527-8132
(630) 686-9000
(844) 235-2578
Mailing address
6101 S COUNTY LINE RD, BURR RIDGE, IL 60527-8132
(630) 686-9000
(844) 235-2578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F100323989
PTAN
—
Enumeration date
06/13/2016
Last updated
03/17/2018
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