Organization
HOPKINS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK HOPKINS MD (PRESIDENT)
(708) 860-8650
Entity
Organization
Contact information
Practice address
1550 W 88TH ST, SUITE 310, CHICAGO, IL 60620-4828
(773) 369-6264
(708) 897-0352
Mailing address
4426 S KING DR, CHICAGO, IL 60653-3348
(708) 860-8650
(708) 897-0352
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036111765
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111765
—
IL
01
—
1637013
BLUE CROSS BLUE SHIELD OF IL
IL
Enumeration date
12/27/2007
Last updated
04/15/2009
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