Organization Name: | KEY I. NAM, MD, SC. |
NPI Number: | 1457526063 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEY I NAM (MD) |
Mailing Address: | 3434 W Peterson Ave Suite 202 Chicago |
State: | IL US |
Postal Code: | 606593319 |
Phone Number: | 7732670781 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2008 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | 036043256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |