Kim, John

Kim, John is an individual health care provider with primary practice located at 259 E Erie St Ste 2060 , Chicago IL 60611-2987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Kim, John can be contacted via phone (312) 695-6022.

Contact Information

Primary practice address
259 E Erie St Ste 2060 Chicago IL 60611-2987
Phone: (312) 695-6022
Fax: (312) 695-5672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036111169 Illinois

Profile Details

NPI number 1932130135
LBN Legal business name Kim, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 22nd, 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 1932130135 NPPES
Illinois MEDICAID 036111169

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