Individual
JASON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2574
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2574
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
036.126688
IL
Other
Enumeration date
04/19/2007
Last updated
09/01/2011
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