# KCMP ACUPUNCTURE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366489155
- **Authorized official:** KENNETH C PANG M.D. (PRESIDENT)
- **Authorized official phone:** (630) 527-0621

## Contact information

- **Practice address:** 3020 TALL GRASS DR, NAPERVILLE, IL 60564-8232
- **Practice address phone:** (630) 527-0621
- **Practice address fax:** (630) 527-0621
- **Mailing address:** 3020 TALL GRASS DR, NAPERVILLE, IL 60564-8232
- **Mailing address phone:** (630) 527-0621
- **Mailing address fax:** (630) 527-0621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 08/22/2020
