Kim, Brian Won-Sik

Kim, Brian Won-Sik is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Kim, Brian Won-Sik can be contacted via phone (773) 702-1000.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036-134563 Illinois

Profile Details

NPI number 1346299831
LBN Legal business name Kim, Brian Won-Sik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Dec 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346299831 NPPES
Florida MEDICAID 0008901-00

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