FULLERTON KIMBALL MEDICAL & SURGICAL CENTER – NPI #1205964103
Clinic/Center
FULLERTON KIMBALL MEDICAL & SURGICAL CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1205964103 to FULLERTON KIMBALL MEDICAL & SURGICAL CENTER on March 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 12 years ago on Apr 09, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FULLERTON KIMBALL MEDICAL & SURGICAL CENTER below.
NPI Profile for
FULLERTON KIMBALL MEDICAL & SURGICAL CENTER
(more than 19 years ago)
CHICAGO, IL 60647-2416 Phone: (773) 235-8000 Fax:
PRESIDENT
Phone: (773) 235-8000
Identifiers for FULLERTON KIMBALL MEDICAL & SURGICAL CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | TAXONOMY CODE | IL | 261Q00000X |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
IL | 7003181 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.