DR. SONG KEE KIM M.D. NPI 1780997197

NPI Information

NPI: 1780997197
Provider Name: DR. SONG KEE KIM, M.D.
Classification: Clinic/Center - 261QA1903X
Entity Type: Individual

Specialization: Ambulatory Surgical

Address:
6212 N LINCOLN AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 588-5770
Get Directions

DR. Song Kee Kim, M.D. is an ambulatory surgical clinic center in Chicago, IL. DR. Song Kee Kim, M.D. NPI is 1780997197. 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:

6212 N LINCOLN AVE
CHICAGO, IL
ZIP 60659-208
Phone: (773) 588-5770
Fax: (773) 588-5890

The enumeration date for this NPI number is 7/15/2010 and was last updated on 7/15/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		036059978	ILLINOIS	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	036059978	ILLINOIS	Yes

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

NPI Synchronization or Removal

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