Fullerton Kimball Medical Group Pc

NPI 1831213081 - Clinic/Center - 261QM1300X

NPI Details
NPI 1831213081
Enumeration Date 03/16/2007
Last Updated 01/29/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RENLIN RENLIN
Position PRESIDENT
Phone (773) 235-8000
Fax
Practice Location
3412 W FULLERTON AVE
CHICAGO IL, 60647-2416, US
Phone (773) 235-8000
Fax
Business Location
PO BOX 478499
CHICAGO IL, 60647-8499, US
Phone (773) 235-8000
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State Illinois
License Number =========
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According to our database, Fullerton Kimball Medical Group Pc NPI is 1831213081, taxonomy code is 261QM1300X and license number is =========, license state is located at Illinois. Fullerton Kimball Medical Group Pc physically located at 3412 W Fullerton Ave, Chicago IL, 60647-2416. NPI Number 1033115704 has the healthcare provider type.

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1831213081 NPI number is provided on an as is basis without warranty of any kind. 1831213081 is maintained by the National Plan & Provider Enumeration System. The contents of Fullerton Kimball Medical Group Pc are for informational purposes only.