Provider Type Icon

TONG SU KIM MD NPI 1306866124


NPI Information

NPI: 1306866124
Provider Name: TONG SU KIM, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3434 W PETERSON AVE
1C
CHICAGO, IL
ZIP 60659
Phone: (773) 267-8060
Get Directions

Tong Su Kim, MD is a pediatrics in Chicago, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Tong Su Kim, MD NPI is 1306866124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3434 W PETERSON AVE
1C
CHICAGO, IL
ZIP 60659
Phone: (773) 267-8060
Fax: (847) 251-7177

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4301037885MICHIGANNo
2208000000XPediatricsA33664CALIFORNIANo
3208000000XPediatricsILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121607071OTHERBCBS
2D13162MEDICARE UPIN
3493260MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.