Organization Active NPI

Bazell Clinic, LLC

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1780616102
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.