Waukegan Dialysis Associates Ptr Kang Yann Lin Gen Ptr

LBN: Waukegan Dialysis Associates Ptr Kang Yann Lin Gen Ptr
Waukegan Dialysis Associates Ptr Kang Yann Lin Gen Ptr is an health care organization with primary practice located at 1616 Grand Ave Ste A, Waukegan IL 60085. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Waukegan Dialysis Associates Ptr Kang Yann Lin Gen Ptr can be contacted via phone (847) 623-0032, or through Freeland, John Peter via phone (847) 623-0032.

Contact Information

Primary practice address
1616 Grand Ave Ste A Waukegan IL 60085
Fax: (847) 623-0505
Website:
Authorized official contact:
Name: Freeland, John Peter Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1003886227
LBN Legal business name Waukegan Dialysis Associates Ptr Kang Yann Lin Gen Ptr
DBA Doing business as
Authorized official Freeland, John Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 9th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003886227 NPPES
Illinois MEDICAID 036049794

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