Kim, Jenny

Kim, Jenny is an individual health care provider with primary practice located at 2701 Patriot Blvd , Glenview IL 60026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Jenny can be contacted via phone (312) 926-7337.

Contact Information

Primary practice address
2701 Patriot Blvd Glenview IL 60026
Phone: (312) 926-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-134533 Illinois

Profile Details

NPI number 1245529130
LBN Legal business name Kim, Jenny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2011
Last updated Nov 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245529130 NPPES
Illinois MEDICAID 036134533

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