Organization
BAZELL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YEUN HIE KIM (OFFICE MANAGER)
(312) 738-3111
Entity
Organization
Contact information
Practice address
3520 S ASHLAND AVE, CHICAGO, IL 60609-1317
(773) 247-4900
(773) 247-8145
Mailing address
3520 S ASHLAND AVE, CHICAGO, IL 60609-1317
(773) 247-4900
(773) 247-8145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
07/07/2006
Last updated
09/11/2025
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