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General NPI Number Information
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NPI Number | 1609194810
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Entity Type | Individual
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Provider Name | NISHANT KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 155 E. BRUSH HILL ROAD DEPARTMENT OF RADIOLOGY
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City | ELMHURST
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State | IL
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Zip | 60126-5652
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Country | US
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Telephone | 331-221-5420
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE. SUITE 1223
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City | ELMHURST
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 847-570-2040
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036135158
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License Number State | IL
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