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

Fullerton Kimball Medical Group SC

Organization Multi-Specialty Clinic/Center · NPI 1831213081

Fullerton Kimball Medical Group SC is a Multi-Specialty 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
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X (IL)

Record details

NPI number1831213081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renlin Xia — President · (773) 235-8000
NPI enumeratedMarch 16, 2007
Last updated in NPPESAugust 24, 2023
Certification dateMarch 22, 2021
Mailing address3412 W Fullerton Ave, Chicago, IL 60647-2416

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