Kim, Stanley

Kim, Stanley is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kim, Stanley can be contacted via phone (630) 933-2489.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Phone: (630) 933-2489
Fax: (630) 933-2827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A71763 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036109828 Illinois

Profile Details

NPI number 1437188018
LBN Legal business name Kim, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 23rd, 2014 - about 10 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 1437188018 NPPES
California Other 00A717630 MEDI CAL
California MEDICAID 036109828 MEDI CAL
California Other 0222075 MEDI CAL
California Other 3631498336019001 MEDI CAL
California Other 3625139096019701 MEDI CAL

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