Provider Demographics
NPI:1952544918
Name:KUMAR, RATNESH (MBBS,MD)
Entity Type:Individual
Prefix:
First Name:RATNESH
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MBBS,MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1S210 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3933
Mailing Address - Country:US
Mailing Address - Phone:630-282-6002
Mailing Address - Fax:630-282-7322
Practice Address - Street 1:1585 BARRINGTON RD
Practice Address - Street 2:SUITE 601-A , DOCTOR'S BUILDING#2
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1090
Practice Address - Country:US
Practice Address - Phone:847-884-5911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT053520208000000X
IL036.140474208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics