Provider Demographics
NPI:1609900489
Name:K & E MEDICAL LTD.
Entity Type:Organization
Organization Name:K & E MEDICAL LTD.
Other - Org Name:TAYLOR-OGDEN MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:CHAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-243-3411
Mailing Address - Street 1:600 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3531
Mailing Address - Country:US
Mailing Address - Phone:312-243-3411
Mailing Address - Fax:312-733-8381
Practice Address - Street 1:600 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3531
Practice Address - Country:US
Practice Address - Phone:312-243-3411
Practice Address - Fax:312-733-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042006313111N00000X
IL036056245207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty