Kim, John Il-Chung

Kim, John Il-Chung is an individual health care provider with primary practice located at 18101 Lorain Ave , Cleveland OH 44111-5612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, John Il-Chung can be contacted via phone (216) 476-7052.

Contact Information

Primary practice address
18101 Lorain Ave Cleveland OH 44111-5612
Phone: (216) 476-7052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35056501 Ohio

Profile Details

NPI number 1386645497
LBN Legal business name Kim, John Il-Chung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 2nd, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386645497 NPPES
Ohio MEDICAID 0720812

Popular Providers