Organization Active NPI

Key I. Nam, MD, SC.

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Chicago, IL
National Provider Identifier
1457526063
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
036043256 Issued in IL
Legal business name
KEY I. NAM, MD, SC.
Practice address
3434 W Peterson Ave
Suite 202
Chicago, IL 60659-3319
Phone
(773) 267-0781
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Key I Nam
Title
MD
Phone
(773) 267-0781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 225500000X 036043256 IL Primary

Addresses

Primary practice location

3434 W Peterson Ave
Suite 202
Chicago, IL 60659-3319

Mailing address

3434 W Peterson Ave
Suite 202
Chicago, IL 60659-3319
Phone (773) 267-0781

National Provider Directory

National Provider Directory

Locations

3434 W Peterson Ave
Ste 202
Chicago, IL 60659
Phone (773) 267-0781

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1457526063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W PETERSON AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593319",
            "telephone_number": "773-267-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W PETERSON AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593319",
            "telephone_number": "773-267-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY I. NAM, MD, SC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "KEY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "773-267-0781"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": "IL",
            "license": "036043256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.