Individual
DR. KIRAN KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
412 63RD ST, SUITE 103, DOWNERS GROVE, IL 60516-2000
(630) 719-5472
(630) 719-5466
Mailing address
911 N ELM ST, SUITE 215, HINSDALE, IL 60521-3634
(630) 856-6865
(630) 856-6813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36110014
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110014
—
IL
Enumeration date
05/08/2006
Last updated
04/16/2009
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