KAM MEDICAL LLC NPI 1689247850

NPI Information

NPI: 1689247850
Provider Name: KAM MEDICAL LLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
1320 S PLYMOUTH CT
CHICAGO, IL
ZIP 60605
Phone: (352) 339-3111
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KAM MEDICAL LLC is an emergency care clinic center in Chicago, IL. KAM MEDICAL LLC NPI is 1689247850. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1320 S PLYMOUTH CT
CHICAGO, IL
ZIP 60605-717
Phone: (352) 339-3111

The provider's authorized official is Katrina Mattingly .
The authorized official title is Owner and has the following contact phone number (352) 339-3111.

The enumeration date for this NPI number is 7/23/2021 and was last updated on 8/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine				No
2	261QE0002X	Clinic/Center	Emergency Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	109814	MEDICAID	ARIZONA
2	F100783497	OTHER	ILLINOIS	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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