Km Surgical, P.c.

NPI #1700903309 in Chicago, Illinois

Provider Information

NPI Number: 1700903309
Entity Type: Organization
Organization Name: Km Surgical, P.c.
Primary Specialty: Surgery
Enumeration Date: Mar 26, 2007
Last Updated: Aug 15, 2019

Practice Location

Address: 505 N LAKE SHORE DR
Address 2: SUITE 203
City: Chicago
State: Illinois
ZIP Code: 60611
Phone: (312) 528-9068

Authorized Official

Name: DR. KIUMARS MOSTOWFI, M.D.
Title: PRESIDENT
Phone: (312) 528-9068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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