Kim, Michael Hyun-Ook
Kim, Michael Hyun-Ook is an individual health care provider with primary practice located at 747 N Rutledge St 5Th Floor, Springfield IL 62702-6700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kim, Michael Hyun-Ook can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
747 N Rutledge St 5Th Floor
Springfield IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-7063
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD14035 | Rhode Island |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 31083 | Nebraska |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036-105331 | Illinois |
Profile Details
NPI number | 1033182795 |
---|---|
LBN Legal business name | Kim, Michael Hyun-Ook |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 2006 |
Last updated | Sep 24th, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033182795 | NPPES |
Minnesota | MEDICAID | 393667800 | |
Minnesota | Other | IL4720012 | |
Minnesota | Other | K30600 | |
Minnesota | MEDICAID | 036105331 |
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