Kim, Jae H

Kim, Jae H is an individual health care provider with primary practice located at 10400 Southwest Hwy , Chicago Ridge IL 60415-1367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kim, Jae H can be contacted via phone (708) 423-8706.

Contact Information

Primary practice address
10400 Southwest Hwy Chicago Ridge IL 60415-1367
Phone: (708) 423-8706
Fax: (708) 423-8659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036 096031 Illinois

Profile Details

NPI number 1225055866
LBN Legal business name Kim, Jae H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 26th, 2023 - about last year

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 1225055866 NPPES
Illinois MEDICAID 036096031

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