Kim, Kyung S

Kim, Kyung S is an sole proprietor health care provider with primary practice located at 241 Golf Mill Ctr Suite 202, Niles IL 60714-1224. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Kim, Kyung S can be contacted via phone (847) 375-8090.

Contact Information

Primary practice address
241 Golf Mill Ctr Suite 202 Niles IL 60714-1224
Phone: (847) 375-8090
Fax: (847) 375-8108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036068846 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036068846 Illinois

Profile Details

NPI number 1104932136
LBN Legal business name Kim, Kyung S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Nov 28th, 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 1104932136 NPPES
Illinois MEDICAID 036068846

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