Sunil Kumar
Internal Medicine in Peoria, IL. Individual provider (NPI-1).
NPI number1164042016
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1164042016
- Entity type
- Individual (NPI-1)
- Name
- Sunil Kumar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2020
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036.164782 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | TL0008353 | CO |
Practice location
530 Ne Glen Oak Ave # AhsPeoria, IL 61637-0001
Phone 309-655-2000
Mailing address
Osf Healthcare- Saint Francis Medical Center 530 Ne GlPeoria, IL 61637-0001
Phone 309-655-2000
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