Individual
DR. HYUK JASON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 346-3055
Mailing address
62647 COLLECTION CENTER DR, CHICAGO, IL 60693-0626
(708) 424-9710
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036084141
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084141
—
IL
01
—
920004030
RR MEDICARE ICRO
IL
01
—
920004031
RR MEDICARE CNSLTS RAD
IL
Enumeration date
11/15/2005
Last updated
02/10/2025
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