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Contact Information

AVERY L KONG, DO
611 W. PARK ST
EMERGENCY DEPARTMENT
URBANA, IL61801
 Phone: 217-383-3311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AVERY L KONG · (Male)

NPI Number 1245400068
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/07/2008
Last updated 11/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036128793
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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