Kim, Woo Chan

Kim, Woo Chan is an individual health care provider with primary practice located at 301 Madison St , Joliet IL 60435-6557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Woo Chan can be contacted via phone (815) 725-6331.

Contact Information

Primary practice address
301 Madison St Joliet IL 60435-6557
Phone: (815) 725-6331
Fax: (815) 725-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036094791 Illinois

Profile Details

NPI number 1477511863
LBN Legal business name Kim, Woo Chan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 6th, 2024 - about 9 months 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 1477511863 NPPES
Illinois MEDICAID 036094791

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