Basic Information
| Provider Information | |||||||||
| NPI: | 1568800340 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | KUNAL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 820 S WOOD ST | ||||||||
| Address2: | DEPARTMENT OF NEPHROLOGY (MC 793) | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606124325 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4408864123 | ||||||||
| FaxNumber: | 9895836840 | ||||||||
| Practice Location | |||||||||
| Address1: | 820 S WOOD ST | ||||||||
| Address2: | DEPARTMENT OF NEPHROLOGY (MC 793) | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606124325 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129966736 | ||||||||
| FaxNumber: | 3129967378 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2013 | ||||||||
| LastUpdateDate: | 02/01/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301103112 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 036-140187 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.