Organization
KAM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA MATTINGLY MD (OWNER)
(352) 339-3111
Entity
Organization
Contact information
Practice address
1320 S PLYMOUTH CT, CHICAGO, IL 60605-2717
(352) 339-3111
Mailing address
PO BOX 7306, CAROL STREAM, IL 60197-7306
(352) 339-3111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109814
—
AZ
01
—
F100783497
MEDICARE
IL
Enumeration date
07/23/2021
Last updated
08/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us