Kim, Jeffrey

Kim, Jeffrey is an sole proprietor health care provider with primary practice located at 1425 N Randall Rd , Elgin IL 60123-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Jeffrey can be contacted via phone (224) 783-8950.

Contact Information

Primary practice address
1425 N Randall Rd Elgin IL 60123-2300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 244511-1 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A103032 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036158933 Illinois

Profile Details

NPI number 1780882258
LBN Legal business name Kim, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2007
Last updated Oct 16th, 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 1780882258 NPPES
New York MEDICAID 03053129

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