MEDICARE: ARUN KUMAR MD SC

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	261QP2300X	Primary Care Clinic/Center	036105778	IL

General Provider Information

NPI Number	:	1629123252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARUN KUMAR MD SC

Provider Business Mailing Address
First Line	:	931 W 75TH ST
Second Line	:	SUITE127
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-1294
Country	:	US
Telephone Number	:	630-579-4668
Fax Number	:

Provider Business Practice Location Address
First Line	:	931 W 75TH ST
Second Line	:	SUITE127
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-1294
Country	:	US
Telephone Number	:	630-579-4668
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARUN AMIRTHALINGAM KUMAR
Credential	:	MD
Telephone Number	:	630-579-4668

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	10/20/2010

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