Kong, Kin Ching

Kong, Kin Ching is an sole proprietor health care provider with primary practice located at 2835 N. Sheffield Suite 403, Chicago IL 60657. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Kong, Kin Ching can be contacted via phone (773) 391-8209.

Contact Information

Primary practice address
2835 N. Sheffield Suite 403 Chicago IL 60657
Phone: (773) 391-8209
Fax: (773) 244-9504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1396837837
LBN Legal business name Kong, Kin Ching
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1396837837 NPPES
Illinois Other 7203712 AETNA PROVIDER ID
Illinois Other 01635389 AETNA PROVIDER ID

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