Kim, Theresa

Kim, Theresa is an individual health care provider with primary practice located at 1901 W. Harrison St. , Chicago IL 60612-9985. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Kim, Theresa can be contacted via phone (312) 864-0394.

Contact Information

Primary practice address
1901 W. Harrison St. Chicago IL 60612-9985
Phone: (312) 864-0394
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 036-139633 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36139633 Illinois

Profile Details

NPI number 1609132984
LBN Legal business name Kim, Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Aug 10th, 2020 - about 4 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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