Organization · Type 2 NPI
Brian A. King
Clinic/Center · Oak Park, IL
NPI number
1639344781
Active
Practice location
6142 Roosevelt Rd, Suite 105
Oak Park, IL 60304-2311
Fax (708) 848-0598
Mailing address
6142 W Roosevelt Road, Suite 105
Oak Park, IL 60304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
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About NPI 1639344781
Brian A. King's National Provider Identifier is 1639344781, issued on Apr 29, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Oak Park, IL. The record was last updated on May 7, 2008.