Basic Information
Provider Information
NPI: 1982808820
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARMALI
FirstName: KUNAL
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 351 DELNOR DR STE 302
Address2:  
City: GENEVA
State: IL
PostalCode: 601344220
CountryCode: US
TelephoneNumber: 6302320280
FaxNumber:  
Practice Location
Address1: 351 DELNOR DR
Address2:  
City: GENEVA
State: IL
PostalCode: 60134
CountryCode: US
TelephoneNumber: 6302320280
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/13/2007
LastUpdateDate: 05/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X52470WIN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X52470WIN Allopathic & Osteopathic PhysiciansHospitalist 
207RC0000X036.127832ILY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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