MEDICARE: KAP J. NO, M.D. S.C.

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	207RN0300X	Nephrology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2185099	OTHER	IL	CIGNA
2	31601894	OTHER	IL	BLUE CHOICE
3	31601894	OTHER	IL	BC BS OF ILLINOIS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1443	OTHER	IL	UNIFIED PHYSICIANS NETWK
6	49430	OTHER	IL	AETNA
7	206	OTHER	IL	SCH MANAGEDCARE ALLIANCE
8	206	OTHER	IL	MANAGED HEALTHCARE

General Provider Information

NPI Number	:	1467404574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAP J. NO, M.D. S.C.

Provider Business Mailing Address
First Line	:	2740 W FOSTER AVE STE 417
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3524
Country	:	US
Telephone Number	:	773-275-7900
Fax Number	:	773-275-5256

Provider Business Practice Location Address
First Line	:	2740 W FOSTER AVE STE 417
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3524
Country	:	US
Telephone Number	:	773-275-7900
Fax Number	:	773-275-5256

Authorized Official
Title or Position	:	M.D.
Name	:	DR. KAP JOON NO
Credential	:	M.D.
Telephone Number	:	773-275-7900

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	12/11/2018

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