Kim, Tae Yeon

Kim, Tae Yeon is an individual health care provider with primary practice located at 2650 Ridge Ave. Pediatric Hospitalists, Evanston IL 60201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kim, Tae Yeon can be contacted via phone (847) 570-1027.

Contact Information

Primary practice address
2650 Ridge Ave. Pediatric Hospitalists Evanston IL 60201
Phone: (847) 570-1027
Fax: (847) 733-5108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036159364 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.159364 Illinois

Profile Details

NPI number 1104387638
LBN Legal business name Kim, Tae Yeon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated May 25th, 2022 - about 4 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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