Kim, Michelle M

Kim, Michelle M is an individual health care provider with primary practice located at 14236 Mccarthy Road , Lemont IL 60439. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Kim, Michelle M can be contacted via phone (630) 863-7517.

Contact Information

Primary practice address
14236 Mccarthy Road Lemont IL 60439
Phone: (630) 863-7517
Fax: (630) 863-7519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005207 Illinois

Profile Details

NPI number 1356458673
LBN Legal business name Kim, Michelle M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Feb 13th, 2015 - about 9 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 1356458673 NPPES
Illinois MEDICAID 016005207

Popular Providers