FULLERTON KIMBALL MEDICAL & SURGICAL CENTER
NPI 1205964103
Clinic/Center - Ambulatory Surgical in Chicago, IL

Q: What is Fullerton Kimball Medical & Surgical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since March 01, 2007

3412 W FULLERTON AVE, CHICAGO, IL 60647(773) 235-8000 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fullerton Kimball Medical & Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULLERTON KIMBALL MEDICAL & SURGICAL CENTER (NPI 1205964103) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since March 2007. The organization lists Renlin Xia, President, as its authorized official.

NPPES Registry Identity

NPI1205964103

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameFULLERTON KIMBALL MEDICAL & SURGICAL CENTER

Location Address3412 W FULLERTON AVEChicago, IL 60647-2416

Mailing Address3412 W Fullerton AveChicago, IL 60647-2416 · (773) 235-8000

Phone(773) 235-8000

Organization SubpartNo

Authorized OfficialRenlin XiaPresident · (773) 235-8000

Enumeration DateMarch 1, 2007

Last NPPES UpdateApril 9, 2014

✔ NPI 1205964103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in IL · 7003181

3412 W FULLERTON AVE, Chicago, IL 60647

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Other Identifiers 2

Other261Q00000XIL · Taxonomy Code

Medicare ID-Type Unspecified141064IL

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

87 services35 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

52 services19 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

46 services20 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

16 services16 patients

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GREGORY WELLS M.D.

Anesthesiology