Bai, Grace Soo Kyung

Bai, Grace Soo Kyung is an sole proprietor health care provider with primary practice located at 9669 Kenton Ave #409, Skokie IL 60076-1266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Bai, Grace Soo Kyung can be contacted via phone (847) 933-0800.

Contact Information

Primary practice address
9669 Kenton Ave #409 Skokie IL 60076-1266
Phone: (847) 933-0800
Fax: (855) 329-4224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036103366 Illinois

Profile Details

NPI number 1932196219
LBN Legal business name Bai, Grace Soo Kyung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Dec 7th, 2021 - 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 1932196219 NPPES
Illinois Other 01633731 BCBS
Illinois MEDICAID 036103366 BCBS

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