Kumar, Surender
Kumar, Surender is an sole proprietor health care provider with primary practice located at 6084 S Archer Ave Suite 102, Chicago IL 60638-2747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kumar, Surender can be contacted via phone (773) 884-4280.Contact Information
Primary practice address
6084 S Archer Ave Suite 102
Chicago IL 60638-2747
Phone: (773) 884-4280
Fax: (630) 953-2347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036054014 | Illinois |
Profile Details
| NPI number | 1245205574 |
|---|---|
| LBN Legal business name | Kumar, Surender |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Dec 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245205574 | NPPES |
| Illinois | MEDICAID | 036054014 |
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