MEDICARE: HANKOOK PAIN & REHAB LTD.

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
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1508807843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANKOOK PAIN & REHAB LTD.

Provider Business Mailing Address
First Line	:	5800 N LINCOLN AVE #C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4618
Country	:	US
Telephone Number	:	773-907-2000
Fax Number	:	773-907-2002

Provider Business Practice Location Address
First Line	:	5800 N LINCOLN AVE #C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4618
Country	:	US
Telephone Number	:	773-907-2000
Fax Number	:	773-907-2002

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WON KYU LEE
Credential	:	D.C
Telephone Number	:	773-907-2000

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	02/21/2008

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