Individual
DR. ALAN MADHUR KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, EMERGENCY DEPARTMENT, PARK RIDGE, IL 60068-1143
(847) 723-5155
Mailing address
9 CONCORD DR, OAK BROOK, IL 60523-1765
(630) 789-9229
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01068011A
IN
207P00000X
Emergency Medicine Physician
Primary
036-106463
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106463
—
IL
05
—
200892510
—
IN
Enumeration date
08/25/2006
Last updated
09/22/2020
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