Kim, Jean Ok

Kim, Jean Ok is an individual health care provider with primary practice located at 1675 Dempster St Fl 3 , Park Ridge IL 60068-1110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Kim, Jean Ok can be contacted via phone (847) 318-9330.

Contact Information

Primary practice address
1675 Dempster St Fl 3 Park Ridge IL 60068-1110
Fax: (847) 723-9051
Website:

Health care specialties

Profile Details

NPI number 1962439992
LBN Legal business name Kim, Jean Ok
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 25th, 2022 - about 2 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 1962439992 NPPES
Illinois Other 347713028 PTAN MCHENRY
Illinois MEDICAID 036-101238 PTAN MCHENRY
Illinois Other 347710033 PTAN MCHENRY
Illinois Other 347711014 PTAN MCHENRY
Illinois Other IL3289017 PTAN MCHENRY

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