Organization Active NPI

HKM Enterprises, LLC.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1891936324
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036109936 Issued in IL
Legal business name
HKM ENTERPRISES, LLC.
Practice address
6640 S Kimbark Ave
#1-N
Chicago, IL 60637-4683
Phone
(773) 220-2477
NPI assigned
Mar 12, 2009
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Howard McNair, MD
Title
Medical Director
Phone
(773) 220-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 036109936 IL Primary

Addresses

Primary practice location

6640 S Kimbark Ave
#1-N
Chicago, IL 60637-4683

Mailing address

6640 S Kimbark Ave
#1-N
Chicago, IL 60637-4683

Other identifiers 1

IdentifierTypeStateIssuer
036109936MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1891936324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 S KIMBARK AVE",
            "address_2": "#1-N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 S KIMBARK AVE",
            "address_2": "#1-N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374683",
            "telephone_number": "773-220-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HKM ENTERPRISES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-220-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109936",
            "state": "IL"
        }
    ],
    "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 Oct 19, 2012; 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.