Andrew Kong in Rockford - Chiropractor

Andrew Kong - NPI 1598817934

Andrew Kong is a Chiropractor in Rockford, Illinois. Andrew Kong practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Andrew Kong is 1598817934. The last update date is 2007-07-08.

Andrew Kong's current location address is 5301 E State St, Rockford, Illinois. You can contact this provider via phone number 8153978500 and fax number 8153978588. The mailing address for Andrew Kong is 5301 E State St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew Kong
Address 5301 E State St, Rockford, Illinois
Phone Number 8153978500
Fax Number 8153978588
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1598817934
Provider Enumeration Date 2007-01-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5301 E State St
City Rockford
State Illinois (IL)
Post Code 61108
Phone Number 8153978500
Fax Number 8153978588

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38007316
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
331054985 TAX ID
10132077 BLUE CROSS BLUE SHIELD

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FAQs about Andrew Kong

What is the unique 10-digit identification code assigned to Andrew Kong by the Centers for Medicare & Medicaid Services?

The Andrew Kong has been issued the NPI (National Provider Identifier) 1598817934, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Andrew Kong's physical address?

The Andrew Kong is physically located at 5301 E State St, in the city of Rockford, IL, with the postal code 61108.

What is the Andrew Kong's specialty and taxonomy code?

The Andrew Kong's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date was the 1598817934 assigned to Andrew Kong?

The Andrew Kong was issued its 1598817934 on 2007-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Andrew Kong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Andrew Kong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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