Kim, Christina

Kim, Christina is an individual health care provider with primary practice located at 3505 N Bell School Rd , Rockford IL 61114-6624. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Christina can be contacted via phone (779) 696-0300.

Contact Information

Primary practice address
3505 N Bell School Rd Rockford IL 61114-6624
Phone: (779) 696-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R-11294 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036155585 Illinois

Profile Details

NPI number 1518459403
LBN Legal business name Kim, Christina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2018
Last updated May 5th, 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 1518459403 NPPES
Illinois MEDICAID 03155585

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