Kam Medical Llc
LBN: Kam Medical Llc
Kam Medical Llc is an health care organization with primary practice located at 1320 S Plymouth Ct , Chicago IL 60605-2717. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Emergency Care. Ambulatory Health Care Facilities / Emergency Care is the primary health care specialty.
Kam Medical Llc can be contacted via phone (352) 339-3111, or through Mattingly, Katrina via phone (352) 339-3111.
Contact Information
Primary practice address
1320 S Plymouth Ct
Chicago IL 60605-2717
Phone: (352) 339-3111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Ambulatory Health Care Facilities / Emergency Care | 261QE0002X |
Profile Details
| NPI number | 1689247850 |
|---|---|
| LBN Legal business name | Kam Medical Llc |
| DBA Doing business as | |
| Authorized official | Mattingly, Katrina Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2021 |
| Last updated | Aug 25th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689247850 | NPPES |
| Arizona | MEDICAID | 109814 | |
| Arizona | Other | F100783497 |
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