Kim, Dong S
Kim, Dong S is an sole proprietor health care provider with primary practice located at 4709 Golf Rd Ste 812, Skokie IL 60076-1258. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kim, Dong S can be contacted via phone (847) 410-8442.Contact Information
Primary practice address
4709 Golf Rd Ste 812
Skokie IL 60076-1258
Phone: (847) 410-8442
Fax: (847) 410-8443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036101382 | Illinois |
Profile Details
| NPI number | 1255307104 |
|---|---|
| LBN Legal business name | Kim, Dong S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Dec 15th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255307104 | NPPES |
| Illinois | Other | 01622554 | BS OF ILL |
| Illinois | MEDICAID | 036101382 | BS OF ILL |
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