KAM MEDICAL LLC
NPI 1689247850
Clinic/Center - Emergency Care in Chicago, IL
- Organization
- Clinic/Center
- Emergency Care
About KAM MEDICAL LLC
This page provides the complete NPI Profile along with additional information for Kam Medical Llc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1689247850 assigned on July 2021. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Kam Medical Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Katrina Mattingly Md (Owner)
- NPI
- 1689247850 Verify this NPI
- Provider Name
- KAM MEDICAL LLC
- Entity Type
- Organization
- Location Address
- 1320 S PLYMOUTH CT CHICAGO, IL 60605
- Location Phone
- (352) 339-3111
- Mailing Address
- PO BOX 7306 CAROL STREAM, IL 60197
- Mailing Phone
- (352) 339-3111
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2021
- Last Update Date
- 08-25-2022
- Code Navigator
Location Map
Secondary Locations
- 2815 E Ocotillo Rd Ste 1
Chandler, AZ 85249
(352) 339-3111 - 1235 S Prairie Ave Apt 2109
Chicago, IL 60605
(352) 339-3111
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 Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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 |
|---|---|---|---|
| 109814 | MEDICAID (05) | AZ | |
| F100783497 | OTHER (01) | IL | MEDICARE |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689247850, enumerated as an "organization" on July 23, 2021.
The provider is located at 1320 S PLYMOUTH CT CHICAGO, IL 60605 and the phone number is (352) 339-3111.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
