K Medical PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016-004758 Issued in IL

Legal business name

K MEDICAL PC

Practice address

3631 N Harlem Ave
Chicago, IL 60634-2237

Phone

(773) 895-3668

Fax

(708) 933-3000

NPI assigned

Sep 12, 2013

Organization subpart

No

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

Authorized official

Name

Karen Hunt, DPM

Title

President

Phone

(773) 895-3668

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1679908396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 HIGHVIEW DR",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211107",
            "telephone_number": "773-895-3668",
            "fax_number": "708-933-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342237",
            "telephone_number": "773-895-3668",
            "fax_number": "708-933-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2023-09-06",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-895-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004758",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.