Healthcare Provider Details

I. General information

NPI: 1952544918
Provider Name (Legal Business Name): RATNESH KUMAR MBBS,MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1585 BARRINGTON RD SUITE 601-A , DOCTOR'S BUILDING#2
HOFFMAN ESTATES IL
60169-1090
US

IV. Provider business mailing address

1S210 SUMMIT AVE
OAKBROOK TERRACE IL
60181-3933
US

V. Phone/Fax

Practice location:
  • Phone: 847-884-5911
  • Fax:
Mailing address:
  • Phone: 630-282-6002
  • Fax: 630-282-7322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number053520
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036.140474
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: