Individual
KAI B KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 668-9561
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3152
(630) 668-8250
(630) 668-9561
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036.142540
IL
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
036.142540
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036142540
—
IL
01
—
FK6710784
MEDICARE
IL
Enumeration date
03/19/2013
Last updated
08/21/2024
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