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
Phone: (847) 318-9330
Fax: (847) 723-9051
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 036-101238 | Illinois |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 40518 | Iowa |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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