Active NPI
Bazell Clinic, LLC
- Surgery Physician
- Chicago, IL
National Provider Identifier
1780616102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- BAZELL CLINIC, LLC
- Practice address
- 3520 S Ashland Ave
Chicago, IL 60609-1317 - Phone
- (773) 247-4900
- Fax
- (773) 247-8145
- NPI assigned
- Jul 7, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yeun Hie Kim
- Title
- Office Manager
- Phone
- (312) 738-3111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | ||
| Surgery Physician | 208600000X | IL | Primary |
Addresses
Primary practice location
3520 S Ashland Ave
Chicago, IL 60609-1317
Mailing address
3520 S Ashland Ave
Chicago, IL 60609-1317
Phone (773) 247-4900
National Provider Directory
National Provider DirectoryLocations
3520 S Ashland Ave
Chicago, IL 60609
Phone (773) 247-4900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1780616102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 S ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606091317",
"telephone_number": "773-247-4900",
"fax_number": "773-247-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 S ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606091317",
"telephone_number": "773-247-4900",
"fax_number": "773-247-8145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAZELL CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "YEUN",
"authorized_official_middle_name": "HIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "312-738-3111",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": null,
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.