Fullerton Kimball Medical & Surgical Center
Fullerton Kimball Medical & Surgical Center provides Ambulatory Surgical Clinic/Center services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
3412 W Fullerton AveChicago, IL 60647-2416 Not confirmed with CMS for 12 years — call before visiting
Phone: (773) 235-8000
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 7003181 (IL) |
|---|
Record details
| NPI number | 1205964103 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Renlin Xia — President · (773) 235-8000 |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | April 9, 2014 |
| Mailing address | 3412 W Fullerton Ave, Chicago, IL 60647-2416 |
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