Kim, Sun-Bum

Kim, Sun-Bum is an individual health care provider with primary practice located at 9669 Kenton Ave Ste 403, Skokie IL 60076-1266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Sun-Bum can be contacted via phone (847) 674-4730.

Contact Information

Primary practice address
9669 Kenton Ave Ste 403 Skokie IL 60076-1266
Phone: (847) 674-4730
Fax: (847) 674-4732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036096982 Illinois

Profile Details

NPI number 1255321873
LBN Legal business name Kim, Sun-Bum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
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 1255321873 NPPES
Illinois MEDICAID 3642333916067801

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