Doctor Name: | MR. KUL SOOD |
NPI Number: | 1699966051 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 95 S Chicago St Joliet, IL - 60436 |
Business Phone Number: | 8157405561 |
Business Fax Number: | 8157405577 |
Mailing Address: | 95 S Chicago St, Will County Adult Delention Facilty JOLIET |
State: | IL |
Postal Code: | 60436 |
Phone Number: | 8157405561 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |