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Individual

HARSHA VARDHAN HAMPASANDRA MADAN KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S WOOD ST, CSB 1217, DEPARTMENT OF PEDIATRICS (MC 856), CHICAGO, IL 60612-4325
(312) 996-6714

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036121988
IL
2080P0214X
Pediatric Pulmonology Physician
Primary
036121988
IL

Other

Enumeration date
09/25/2008
Last updated
01/12/2022
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