Lebo, Nadine Kim

Lebo, Nadine Kim is an individual health care provider with primary practice located at 3249 Oak Park Ave , Berwyn IL 60402-3429. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Lebo, Nadine Kim can be contacted via phone (708) 783-2696.

Contact Information

Primary practice address
3249 Oak Park Ave Berwyn IL 60402-3429
Phone: (708) 783-2696
Fax: (708) 783-3164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-097906 Illinois
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 036-97906 Illinois

Profile Details

NPI number 1598704728
LBN Legal business name Lebo, Nadine Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated May 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598704728 NPPES
Illinois MEDICAID 036097906
Illinois Other 300113436

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