Kim, Soo Y

Kim, Soo Y is an individual health care provider with primary practice located at 934 Center St , Elgin IL 60120-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kim, Soo Y can be contacted via phone (847) 742-9800.

Contact Information

Primary practice address
934 Center St Elgin IL 60120-2125
Phone: (847) 742-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X Illinois

Profile Details

NPI number 1689612905
LBN Legal business name Kim, Soo Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 11th, 2007 - about 19 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 1689612905 NPPES
Illinois MEDICAID 0360487431

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