Organization
HKM ENTERPRISES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD MCNAIR MD (MEDICAL DIRECTOR)
(773) 220-2477
Entity
Organization
Contact information
Practice address
6640 S KIMBARK AVE, #1-N, CHICAGO, IL 60637-4683
(773) 220-2477
Mailing address
6640 S KIMBARK AVE, #1-N, CHICAGO, IL 60637-4683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036109936
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109936
—
IL
Enumeration date
03/12/2009
Last updated
10/19/2012
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