Individual
KEVIN TING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7447 W TALCOTT AVE STE 182, CHICAGO, IL 60631-3712
(773) 990-7648
Mailing address
7447 W TALCOTT AVE STE 182, CHICAGO, IL 60631-3712
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
036137948
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2011
Last updated
02/11/2022
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