Kim, Chang Sun

Kim, Chang Sun is an individual health care provider with primary practice located at 1431 N Western Ave , Chicago IL 60622-1797. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kim, Chang Sun can be contacted via phone (312) 633-5866.

Contact Information

Primary practice address
1431 N Western Ave Chicago IL 60622-1797
Phone: (312) 633-5866
Fax: (312) 633-5867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36057244 Illinois

Profile Details

NPI number 1548232895
LBN Legal business name Kim, Chang Sun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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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