Individual
KANNAN SUNDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 W 95TH ST STE 207, OAK LAWN, IL 60453-2658
(708) 684-4637
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.065275
IL
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
036065275
IL
Other
Enumeration date
04/13/2007
Last updated
09/19/2022
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