MEDICARE: DR. KUHN HONG MD

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	2085R0202X	Diagnostic Radiology Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0221524519	OTHER		BCBS

General Provider Information

NPI Number	:	1306865365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KUHN HONG MD

Provider Business Mailing Address
First Line	:	6910 S MADISON ST
Second Line	:
City	:	WILLOWBROOK
State	:	IL
Zip	:	60527-5504
Country	:	US
Telephone Number	:	630-321-2715
Fax Number	:	630-323-1699

Provider Business Practice Location Address
First Line	:	2800 W 95TH ST
Second Line	:	LITTLE COMPANY OF MARY HOSPITAL
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2701
Country	:	US
Telephone Number	:	708-229-5104
Fax Number	:	630-323-1699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	01/18/2008

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Directions to “ DR. KUHN HONG MD” Practice Location

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