Chang K Kim Md Pc
LBN: Chang K Kim Md Pc
Chang K Kim Md Pc is an health care organization with primary practice located at 0N300 Armstrong Ln , Geneva IL 60134-6081. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Chang K Kim Md Pc can be contacted via phone (630) 208-1700, or through Kim, Chang K via phone (630) 208-1700.
Contact Information
Primary practice address
0N300 Armstrong Ln
Geneva IL 60134-6081
Phone: (630) 208-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036060318 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036060318 | Illinois |
Profile Details
| NPI number | 1831391689 |
|---|---|
| LBN Legal business name | Chang K Kim Md Pc |
| DBA Doing business as | |
| Authorized official | Kim, Chang K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Feb 12th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831391689 | NPPES |
| Illinois | MEDICAID | 036060318 | |
| Illinois | Other | 020019386 | |
| Illinois | Other | 02201303 |
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