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NPI Code Detail

MEDICARE: GARRETSON, HOMA & KIM, MD SC

MEDICARE: GARRETSON, HOMA & KIM, MD SC
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
1207R00000XInternal Medicine PhysicianIL

General Provider Information

NPI Number : 1306873674
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARRETSON, HOMA & KIM, MD SC
Provider Business Mailing Address
First Line : 3295 N ARLINGTON HEIGHTS RD
Second Line : SUITE 107
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1565
Country : US
Telephone Number : 847-222-9901
Fax Number : 847-222-9904
Provider Business Practice Location Address
First Line : 3295 N ARLINGTON HEIGHTS RD
Second Line : SUITE 107
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1565
Country : US
Telephone Number : 847-222-9901
Fax Number : 847-222-9904
Authorized Official
Title or Position : PRESIDENT
Name : DR. THEODORE M HOMA
Credential : MD
Telephone Number : 847-222-9901
Provider Enumeration Date : 06/26/2006
Last Update Date : 11/02/2007

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Directions to “GARRETSON, HOMA & KIM, MD SC ” Practice Location

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