Waukegan Dialysis Associates PTR Kang Yann Lin Gen PTR

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

WAUKEGAN DIALYSIS ASSOCIATES PTR KANG YANN LIN GEN PTR

Practice address

1616 Grand Ave
Ste a
Waukegan, IL 60085

Phone

(847) 623-0032

Fax

(847) 623-0505

NPI assigned

Jan 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Peter Freeland, MD

Title

Nephrology Physician & Internal Med

Phone

(847) 623-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1003886227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 GRAND AVE",
            "address_2": "STE A",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-623-0032",
            "fax_number": "847-623-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 GRAND AVE",
            "address_2": "STE A",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-623-0032",
            "fax_number": "847-623-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEGAN DIALYSIS ASSOCIATES PTR KANG YANN LIN GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "NEPHROLOGY PHYSICIAN & INTERNAL MED",
        "authorized_official_telephone_number": "847-623-0032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049794",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Washington
• Paula G Watson, RN
• Kimberly Jean Watts, LCSW,MSW,CADC
• Waukegan Clinic Corp
• Waukegan Dental Care LLC
• Waukegan Family Family
• Waukegan Hearing Aid Center
• Waukegan Illinois Hospital Company LLC
• Waukegan Illinois Hospital Company LLC
• Waukegan Illinois Hospital Company LLC

• Nephrology Physician in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.