Kim, Edward
Kim, Edward is an sole proprietor health care provider with primary practice located at 4140 Southwest Hwy , Hometown IL 60456-1135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Edward can be contacted via phone (708) 422-5700.Contact Information
Primary practice address
4140 Southwest Hwy
Hometown IL 60456-1135
Phone: (708) 422-5700
Fax: (708) 422-8225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 125.072376 | Illinois |
Profile Details
| NPI number | 1588198626 |
|---|---|
| LBN Legal business name | Kim, Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2017 |
| Last updated | Jan 30th, 2019 - about 6 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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