Healthcare Provider Details

I. General information

NPI: 1730999095
Provider Name (Legal Business Name): EPIC MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2298 COUNTY LINE RD STE A
ALGONQUIN IL
60102-2561
US

IV. Provider business mailing address

2298 COUNTY LINE RD STE A
ALGONQUIN IL
60102-2561
US

V. Phone/Fax

Practice location:
  • Phone: 214-566-7424
  • Fax:
Mailing address:
  • Phone: 214-566-7424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID KANG
Title or Position: OWNER
Credential: MD
Phone: 214-566-7424