Provider Demographics
NPI:1740249259
Name:KUMAR, ARUN AMIRTHALINGAM (MD)
Entity type:Individual
Prefix:DR
First Name:ARUN
Middle Name:AMIRTHALINGAM
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:931 W 75TH ST
Mailing Address - Street 2:SUITE127
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-1294
Mailing Address - Country:US
Mailing Address - Phone:630-579-4668
Mailing Address - Fax:630-579-1107
Practice Address - Street 1:931 W 75TH ST
Practice Address - Street 2:SUITE127
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1294
Practice Address - Country:US
Practice Address - Phone:630-579-4668
Practice Address - Fax:630-579-1107
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212168Medicare PIN
ILH78359Medicare UPIN