Sung Sup Kim M.D. P.C.

LBN: Sung Sup Kim M.D. P.C.
Sung Sup Kim M.D. P.C. is an health care organization with primary practice located at 5140 N California Ave Suite G 465, Chicago IL 60625-3645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Sung Sup Kim M.D. P.C. can be contacted via phone (773) 271-8700, or through Kim, Sung Sup via phone (773) 271-8700.

Contact Information

Primary practice address
5140 N California Ave Suite G 465 Chicago IL 60625-3645
Phone: (773) 271-8700
Fax: (773) 271-5912
Website:
Map and Directions
Authorized official contact:
Name: Kim, Sung Sup Doctor of Medicine (MD)
Phone: (773) 271-8700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X Illinois

Profile Details

NPI number 1205933355
LBN Legal business name Sung Sup Kim M.D. P.C.
DBA Doing business as
Authorized official Kim, Sung Sup Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205933355 NPPES
Other DF8696 RAILROAD MEDICARE PTAN#
Other 31604584 RAILROAD MEDICARE PTAN#

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