KEVIN P. CULLINANE (M.D.) – Family Medicine Physician, NPI 1720014673

Family Medicine Physician

KEVIN P. CULLINANE (M.D.) is a healthcare provider. based in River forest, Illinois. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036-072179 (IL). The NPI Number for KEVIN P. CULLINANE (M.D.) is 1720014673

Main info

Male

42 Years Of Experience

Accepts Medicare Assignment

Name

KEVIN P. CULLINANE (M.D.)

NPI

1720014673

Phone

(708) 488-1490

Address

7411 LAKE ST

Enumeration Date

23 June 2006

Last Update Date

19 May 2022

Doctor Profile

Medical School Name

RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY

Secondary Phone

7735645102

Graduation Year

1984 (42 years ago)

PAC ID

9537065578

Group Practice PAC ID

5991046468

Professional Enrollment ID

I20100323000684

Contacts

Secure Messaging

kcullinane43679@direct.luhs.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for KEVIN P. CULLINANE (M.D.)

7411, Lake Street, River Forest, Cook County, Illinois, 60305, United States
SUITE 1120
RIVER FOREST, IL 603051876
Phone: (708) 488-1490
Fax: (708) 488-2394
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99213	Established patient office or other outpatient visit, 20-29 minutes	100	74	$0
99214	Established patient office or other outpatient visit, 30-39 minutes	40	32	$0
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$0

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Insurance plans in this area (ZIP 60305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5991046468View full group profile

Name	Specialty	State
MAX L HARRIS (MD)	R H E U M A T O L O G Y	IL
DR. RACHEL H PROKOPF (DNP, APRN, AGNP-C)	Nurse Practitioner	IL
PAUL R ABBO (M.D.)	Internal Medicine	IL
STEVEN M. NYDICK (M.D.)	Diagnostic Radiology	IL
DR. JEANNETTE SUZANNE CODERE KELLY (D.O.)	Family Practice	IL
GEORGEANN L IACONO RUSSELL (PH.D)	Clinical Psychologist	IL
CAROLYN ELAINE FITZPATRICK (M.D.)	Family Practice	IL
DR. NICHOLE M BUTLER-MOO YOUNG (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	IL
DR. ISOKEN KOKO (MD)	Hematology/Oncology, Internal Medicine	IL
THERESA YUH (M.D.)	Diagnostic Radiology	MD