Kim, Jung E

Kim, Jung E is an individual health care provider with primary practice located at 7530 Woodward Ave , Woodridge IL 60517-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Jung E can be contacted via phone (630) 910-1177.

Contact Information

Primary practice address
7530 Woodward Ave Woodridge IL 60517-3100
Phone: (630) 910-1177
Fax: (630) 910-6995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-103739 Illinois

Profile Details

NPI number 1700978210
LBN Legal business name Kim, Jung E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Dec 19th, 2011 - about 15 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 1700978210 NPPES
Illinois MEDICAID 036103739
Illinois Other 363468127

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