Kim, Tom S.

Kim, Tom S. is an individual health care provider with primary practice located at 6345 W 79Th St , Burbank IL 60459-1133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Tom S. can be contacted via phone (312) 609-0300.

Contact Information

Primary practice address
6345 W 79Th St Burbank IL 60459-1133
Phone: (312) 609-0300
Fax: (708) 684-3070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 82517 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036113598 Illinois

Profile Details

NPI number 1457465676
LBN Legal business name Kim, Tom S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 28th, 2023 - about last year

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 1457465676 NPPES
Wisconsin MEDICAID 100246942

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