SearchIllinois103TC0700X

Brian Kong

NPI 1518366004 · on the registry since 2014

Practice

Address
2001 W North Ave
Chicago, IL 60647
Phone
(872) 588-0220
Organisation at this address
Kathleen Pendergast Llc
Kathleen Pendergast Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 2001 W North Ave, Chicago, IL

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois