FULLERTON KIMBALL MEDICAL & SURGICAL CENTER
NPI 1205964103
Clinic/Center - Ambulatory Surgical in Chicago, IL
NPI Status: Active since March 01, 2007
Contact Information
3412 W FULLERTON AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 235-8000
- Organization
- Clinic/Center
- Ambulatory Surgical
About FULLERTON KIMBALL MEDICAL & SURGICAL CENTER
This page provides the complete NPI Profile along with additional information for Fullerton Kimball Medical & Surgical Center, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1205964103 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 7003181 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Renlin Xia M.d (President)
- NPI
- 1205964103
- Provider Name
- FULLERTON KIMBALL MEDICAL & SURGICAL CENTER
- Entity Type
- Organization
- Location Address
- 3412 W FULLERTON AVE CHICAGO, IL 60647
- Location Phone
- (773) 235-8000
- Mailing Address
- 3412 W FULLERTON AVE CHICAGO, IL 60647
- Mailing Phone
- (773) 235-8000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-01-2007
- Last Update Date
- 04-09-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 7003181
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 261Q00000X | OTHER (01) | IL | TAXONOMY CODE |
| 141064 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of lower or sacral spine facet joint using imaging guidance, single level
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
Insertion of spinal neurostimulator electrode array through skin
Insertion of spinal neurostimulator generator or receiver
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.
This service was performed 127 times for 49 patientsThis procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
This service was performed 34 times for 12 patientsThis 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.
This service was performed 42 times for 15 patientsThis 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.
This service was performed 71 times for 26 patientsThe 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.
This service was performed 18 times for 18 patientsReviews for FULLERTON KIMBALL MEDICAL & SURGICAL CENTER
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205964103, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
CHICAGO, IL 60647
CHICAGO, IL 60647
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205964103, enumerated as an "organization" on March 01, 2007.
The provider is located at 3412 W FULLERTON AVE CHICAGO, IL 60647 and the phone number is (773) 235-8000.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
