Kim, Moon

Kim, Moon is an individual health care provider with primary practice located at 900 Jorie Blvd Suite 186, Oak Brook IL 60523-2213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Kim, Moon can be contacted via phone (630) 954-6700.

Contact Information

Primary practice address
900 Jorie Blvd Suite 186 Oak Brook IL 60523-2213
Phone: (630) 954-6700
Fax: (630) 954-1555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036-056827 Illinois

Profile Details

NPI number 1114963881
LBN Legal business name Kim, Moon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 9th, 2008 - about 16 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 1114963881 NPPES
Illinois Other L76293 MEDICARE PIN FOR GROUP #645650
Illinois MEDICAID 036-085093 MEDICARE PIN FOR GROUP #645650

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