DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. JEONG-AH KANG

MEDICARE: MRS. JEONG-AH KANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15397-040WI
2183500000XPharmacist051.293983IL

General Provider Information

NPI Number : 1215210398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEONG-AH KANG
Provider Business Mailing Address
First Line : 44 CONSTITUTION CT
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1103
Country : US
Telephone Number : 847-918-7301
Fax Number :
Provider Business Practice Location Address
First Line : 4830 GRAND AVE
Second Line :
City : GURNEE
State : IL
Zip : 60031-2618
Country : US
Telephone Number : 847-662-2585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2011
Last Update Date : 12/20/2022

Similar Medicare Providers

1902754617 — JACKELIN LOPEZ
Practice Location Address:
4830 GRAND AVE
GURNEE, IL
60031-2618
Practice Phone: 847-662-2585
Practice Fax:
1306852785 — WALGREEN CO
Practice Location Address:
4830 GRAND AVE
GURNEE, IL
60031-2618
Practice Phone: 847-662-2585
Practice Fax: 847-662-5802
1861774390 — JEFFREY MA PHARMD
Practice Location Address:
4830 GRAND AVE
GURNEE, IL
60031-2618
Practice Phone: 847-662-2585
Practice Fax:
1154606416 — MS. JUDY JUNG RPH
Practice Location Address:
4830 GRAND AVE
GURNEE, IL
60031-2618
Practice Phone: 874-766-2258
Practice Fax: 847-662-5802
1326418427 — EUGENE SON
Practice Location Address:
4830 GRAND AVE
GURNEE, IL
60031-2618
Practice Phone: 847-662-2585
Practice Fax:
1629926738 — JAMIE GOEGAN
Practice Location Address:
350 S GREENLEAF ST STE 405
GURNEE, IL
60031-5709
Practice Phone: 847-336-3335
Practice Fax: 847-336-3249

Directions to “ MRS. JEONG-AH KANG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.