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CHONG SOO RIM M-D LTD NPI 1326127440


NPI Information

NPI: 1326127440
Provider Name: CHONG SOO RIM M-D LTD

Former Legal Business Name: CHONG S. RIM, M.D.

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
5140 N CALIFORNIA AVE
SUITE 715
CHICAGO, IL
ZIP 60625
Phone: (773) 275-4446
Get Directions

CHONG SOO RIM M-D LTD is an obstetrics gynecology in Chicago, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CHONG SOO RIM M-D LTD NPI is 1326127440. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Chong S. Rim, M.d..

The provider's business location address is:

5140 N CALIFORNIA AVE
SUITE 715
CHICAGO, IL
ZIP 60625-645
Phone: (773) 275-4446

The provider's authorized official is Chong Soo Rim .
The authorized official title is Owner and has the following contact phone number (773) 275-4446.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 3/16/2017.


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
1207V00000XObstetrics & Gynecology036046303ILLINOISYes

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
1=========OTHERILLINOISCOMM/PPO PROVIDER #
221603473OTHERILLINOISBLUE SHIELD PROVIDER #
336921508300OTHERILLINOISADVOCATE LUTHERAN GROUP #
4212045OTHERMEDICARE GROUP ID
5036046303MEDICAIDILLINOIS
6K19805MEDICARE PINILLINOIS
75039OTHERILLINOISADVOCATE LUTHERAN PIN #
8D12487MEDICARE UPINILLINOIS

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

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