Provider Demographics
NPI:1932138922
Name:KUMAPLEY, RUDOLF (MBCHB)
Entity Type:Individual
Prefix:DR
First Name:RUDOLF
Middle Name:
Last Name:KUMAPLEY
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 SUNNYSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5330
Mailing Address - Country:US
Mailing Address - Phone:708-531-1801
Mailing Address - Fax:
Practice Address - Street 1:JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Practice Address - Street 2:1901 W. HARRISON ST.
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-091242207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH 13744Medicare UPIN