Kim, Sue

Kim, Sue is an individual health care provider with primary practice located at 3633 W Lake Ave Suite 300, Glenview IL 60026-5805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Kim, Sue can be contacted via phone (847) 729-9122.

Contact Information

Primary practice address
3633 W Lake Ave Suite 300 Glenview IL 60026-5805
Phone: (847) 729-9122
Fax: (847) 729-9134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 036-109449 Illinois

Profile Details

NPI number 1124014642
LBN Legal business name Kim, Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 10th, 2021 - about 3 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 1124014642 NPPES
Illinois MEDICAID 036-109449

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