Kim, Dianna Katherine

Kim, Dianna Katherine is an individual health care provider with primary practice located at 250 Center Dr Suite 101, Vernon Hills IL 60061-1582. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kim, Dianna Katherine can be contacted via phone (847) 918-7050.

Contact Information

Primary practice address
250 Center Dr Suite 101 Vernon Hills IL 60061-1582
Phone: (847) 918-7050
Fax: (847) 918-7068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036103945 Illinois

Profile Details

NPI number 1962403006
LBN Legal business name Kim, Dianna Katherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 20th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962403006 NPPES
Illinois MEDICAID 036103945

Popular Providers