SUNG SUP KIM M.D. P.C. NPI 1205933355

NPI Information

SUNG SUP KIM M.D. P.C. is a cardiovascular disease internal medicine in Chicago, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SUNG SUP KIM M.D. P.C. NPI is 1205933355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5140 N CALIFORNIA AVE
SUITE G 465
CHICAGO, IL
ZIP 60625-645
Phone: (773) 271-8700
Fax: (773) 271-5912

The provider's authorized official is Sung Sup Kim .
The authorized official title is Owner and has the following contact phone number (773) 271-8700.

The CLIA number assigned to this NPI record is 14D0427877 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 1/2/2008.

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:

Other Identifiers

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

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