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General NPI Number Information
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NPI Number | 1578511176
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Entity Type | Individual
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Provider Name | RAJEEV SHIVA KUMAR MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 2655 WARRENVILLE RD STE 500
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5646
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Country | US
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Telephone | 866-949-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 S COUNTY LINE RD
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City | BURR RIDGE
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State | IL
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Zip | 60527-8132
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Country | US
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Telephone | 630-686-9000
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Fax | 844-235-2578
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2020011670
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 36093495
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36093495
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License Number State | IL
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