Kim, Ji Min

Kim, Ji Min is an individual health care provider with primary practice located at 259 E Erie St , Chicago IL 60611-2987. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kim, Ji Min can be contacted via phone (312) 695-4517.

Contact Information

Primary practice address
259 E Erie St Chicago IL 60611-2987
Phone: (312) 695-4517
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209014282 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209014282 Illinois

Profile Details

NPI number 1073960399
LBN Legal business name Kim, Ji Min
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2016
Last updated Nov 2nd, 2018 - about 7 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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