Kim, Richard

Kim, Richard is an sole proprietor health care provider with primary practice located at 1600 W Dempster St Ste 206 , Park Ridge IL 60068-1172. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Kim, Richard can be contacted via phone (224) 938-9521.

Contact Information

Primary practice address
1600 W Dempster St Ste 206 Park Ridge IL 60068-1172
Phone: (224) 938-9521
Fax: (224) 938-9522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC 11999 California
Other Service Providers / Acupuncturist 171100000X 198.000803 Illinois

Profile Details

NPI number 1699952051
LBN Legal business name Kim, Richard
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2008
Last updated Oct 10th, 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 1699952051 NPPES
Illinois MEDICAID 001

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