Organization
K MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN HUNT DPM (PRESIDENT)
(773) 895-3668
Entity
Organization
Contact information
Practice address
310 LAUREL DR, FAIRVIEW HEIGHTS, IL 62208-2421
(773) 895-3668
Mailing address
3651 N TRIPP AVE, CHICAGO, IL 60641-3038
(708) 933-3000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004758
—
IL
01
—
01608372
BC/BS
—
01
—
480032514
RAILROAD MEDICARE
—
Enumeration date
12/22/2011
Last updated
10/07/2016
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