Kim, Won Yang
Kim, Won Yang is an sole proprietor health care provider with primary practice located at 920 West St Suite 218, Peru IL 61354-2763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Won Yang can be contacted via phone (815) 223-6443.Contact Information
Primary practice address
920 West St Suite 218
Peru IL 61354-2763
Phone: (815) 223-6443
Fax: (815) 223-7019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036057302 | Illinois |
Profile Details
| NPI number | 1366441875 |
|---|---|
| LBN Legal business name | Kim, Won Yang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Apr 7th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366441875 | NPPES |
| Illinois | MEDICAID | 036057302 | |
| Illinois | Other | 110079916 |
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