Kim, Joseph Sun

Kim, Joseph Sun is an sole proprietor health care provider with primary practice located at 5140 N California Ave Ste 515, Chicago IL 60625-3645. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Kim, Joseph Sun can be contacted via phone (773) 989-1699.

Contact Information

Primary practice address
5140 N California Ave Ste 515 Chicago IL 60625-3645
Phone: (773) 989-1699
Fax: (773) 989-1698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004326 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004326 Illinois

Profile Details

NPI number 1821096785
LBN Legal business name Kim, Joseph Sun
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Oct 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821096785 NPPES
Illinois MEDICAID 016004326
Illinois Other IL5729

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