Kim-Judd, Jeong Nam

Kim-Judd, Jeong Nam is an sole proprietor health care provider with primary practice located at 2160 Southern Illinois Route 157 Ste B, Glen Carbon IL 62034-1720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim-Judd, Jeong Nam can be contacted via phone (618) 692-1212.

Contact Information

Primary practice address
2160 Southern Illinois Route 157 Ste B Glen Carbon IL 62034-1720
Phone: (618) 692-1212
Fax: (618) 692-4875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2011032430 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X IL036128909 Illinois

Profile Details

NPI number 1013100122
LBN Legal business name Kim-Judd, Jeong Nam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2007
Last updated Apr 24th, 2024 - about 2 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

Popular Providers