MEDICARE: VINOD KUMAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070-009595	IL

General Provider Information

NPI Number	:	1437316452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINOD KUMAR

Provider Business Mailing Address
First Line	:	PO BOX 1198
Second Line	:
City	:	PLAINFIELD
State	:	IL
Zip	:	60544-1198
Country	:	US
Telephone Number	:	630-728-9827
Fax Number	:

Provider Business Practice Location Address
First Line	:	1444 N FARNSWORTH AVE
Second Line	:	SUITE # 400
City	:	AURORA
State	:	IL
Zip	:	60505-1640
Country	:	US
Telephone Number	:	630-428-5850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	10/20/2009

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Directions to “ VINOD KUMAR ” Practice Location

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