NPI 1013134402

Jason Kang, MD

Practitioner Clinical Pathology Physician Maywood, IL

Practice location

Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: (708) 327-2574

Registered specialties

Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZC0006X Licence 036.126688 (IL)

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Registry record

NPI: 1013134402
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2007
Record last updated: 1 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.