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KEVIN P. CULLINANE M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1720014673

Individual Registrant:
 KEVIN P. CULLINANE M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7411 LAKE ST SUITE 1120 RIVER FOREST, IL 60305-1876 US
Tel: 708-488-1490  Fax: 708-488-2394

Contact information for business:
7411 LAKE ST SUITE 1120 RIVER FOREST, IL 60305-1876 US
Tel: 708-488-1490  Fax: 708-488-2394

Registration Information:
NPI: 1720014673
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IL036-072179

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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