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NPI Code Detail

MEDICARE: DR. KATHLEEN E. DUMFORD MD

MEDICARE:  DR. KATHLEEN E. DUMFORD  MD
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
12085R0202XDiagnostic Radiology Physician036-106931IL

General Provider Information

NPI Number : 1457364457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN E. DUMFORD MD
Provider Business Mailing Address
First Line : BRIGHT LIGHT MEDICAL IMAGING
Second Line : 31 S. ARLINGTON HEIGHTS ROAD
City : ELK GROVE VILLAGE
State : IL
Zip : 60007
Country : US
Telephone Number : 847-439-2315
Fax Number : 847-439-3935
Provider Business Practice Location Address
First Line : 31 S. ARLINGTON HEIGHTS ROAD
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007
Country : US
Telephone Number : 847-439-2315
Fax Number : 847-439-3935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 04/05/2018

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Directions to “ DR. KATHLEEN E. DUMFORD MD” Practice Location

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