Kim, Tong Su

Kim, Tong Su is an individual health care provider with primary practice located at 3434 W Peterson Ave 1C, Chicago IL 60659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Tong Su can be contacted via phone (773) 267-8060.

Contact Information

Primary practice address
3434 W Peterson Ave 1C Chicago IL 60659
Phone: (773) 267-8060
Fax: (847) 251-7177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301037885 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A33664 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1306866124
LBN Legal business name Kim, Tong Su
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 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 1306866124 NPPES
Other 21607071 BCBS

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