Chung, Kimberly Dierks

Chung, Kimberly Dierks is an sole proprietor health care provider with primary practice located at 408 N Hickory Ave , Arlington Heights IL 60004-6249. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Chung, Kimberly Dierks can be contacted via phone (847) 293-5572.

Contact Information

Primary practice address
408 N Hickory Ave Arlington Heights IL 60004-6249
Phone: (847) 293-5572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1932227188
LBN Legal business name Chung, Kimberly Dierks
Credentials M.S. CCC-SLP-L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
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 1932227188 NPPES
Illinois Other 05632209 BCBS ID NUMBER

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