Provider Demographics
NPI:1508807843
Name:HANKOOK PAIN & REHAB LTD.
Entity Type:Organization
Organization Name:HANKOOK PAIN & REHAB LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WON
Authorized Official - Middle Name:KYU
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-907-2000
Mailing Address - Street 1:5800 N LINCOLN AVE #C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4618
Mailing Address - Country:US
Mailing Address - Phone:773-907-2000
Mailing Address - Fax:773-907-2002
Practice Address - Street 1:5800 N LINCOLN AVE #C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4618
Practice Address - Country:US
Practice Address - Phone:773-907-2000
Practice Address - Fax:773-907-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209206Medicare ID - Type UnspecifiedGROUP #