Fullerton Kimball Medical & Surgical Center

LBN: Fullerton Kimball Medical & Surgical Center
Fullerton Kimball Medical & Surgical Center is an health care organization with primary practice located at 3412 W Fullerton Ave , Chicago IL 60647-2416. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Fullerton Kimball Medical & Surgical Center can be contacted via phone (773) 235-8000, or through Xia, Renlin via phone (773) 235-8000.

Contact Information

Primary practice address
3412 W Fullerton Ave Chicago IL 60647-2416
Phone: (773) 235-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Xia, Renlin Doctor of Medicine (MD)
Phone: (773) 235-8000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 7003181 Illinois

Profile Details

NPI number 1205964103
LBN Legal business name Fullerton Kimball Medical & Surgical Center
DBA Doing business as
Authorized official Xia, Renlin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Apr 9th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205964103 NPPES
Illinois Other 261Q00000X TAXONOMY CODE

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