Organization
K MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HUNT D.P.M. (PRESIDENT)
(773) 895-3668
Entity
Organization
Contact information
Practice address
4501 W AUGUSTA BLVD, CHICAGO, IL 60651-3302
(773) 252-4400
Mailing address
7234 W NORTH AVE, #1712, ELMWOOD PARK, IL 60707-4239
(773) 895-3668
(773) 764-8650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
016-004758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004758
—
IL
01
—
01608372
BLUE CROSS
—
01
—
480032514
RAILROAD MEDICARE
—
05
—
626167902
—
MO
Enumeration date
06/23/2008
Last updated
06/23/2008
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