Kim, Pu Woong

Kim, Pu Woong is an individual health care provider with primary practice located at 5140 N California Suite 715, Chicago IL 60625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Pu Woong can be contacted via phone (773) 561-1554.

Contact Information

Primary practice address
5140 N California Suite 715 Chicago IL 60625
Phone: (773) 561-1554
Fax: (773) 561-1586
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1477588580
LBN Legal business name Kim, Pu Woong
Credentials MD SC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 7th, 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 1477588580 NPPES
Illinois Other 21625149 BLUE CROSS BLUE SHIELD

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