Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fullerton Kimball Medical & Surgical Center

Organization Ambulatory Surgical Clinic/Center · NPI 1205964103

Fullerton Kimball Medical & Surgical Center is an Ambulatory Surgical Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

3412 W Fullerton Ave
Chicago, IL 60647-2416
Phone: (773) 235-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 7003181 (IL)

Record details

NPI number1205964103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renlin Xia — President · (773) 235-8000
NPI enumeratedMarch 1, 2007
Last updated in NPPESApril 9, 2014
Mailing address3412 W Fullerton Ave, Chicago, IL 60647-2416

Other providers in Chicago