Organization
HERMOSA HEALTHCARE OF CHICAGO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KANG MD (PHYSICIAN)
(580) 478-6347
Entity
Organization
Contact information
Practice address
2002 N PULASKI RD, CHICAGO, IL 60639-3767
(773) 772-8876
Mailing address
2002 N PULASKI RD, CHICAGO, IL 60639-3767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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