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Chang Kwon Kim

Surgeon Vascular Surgeon

0n300 Armstrong Ln
Geneva , Illinois 60134-6081

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Chang Kwon Kim

Surgeon Vascular Surgeon

0n300 Armstrong Ln
Geneva , Illinois 60134-6081

(630) 208-1707

Write a Review Save Call

Chang Kwon Kim

Surgeon Vascular Surgeon

0n300 Armstrong Ln
Geneva , Illinois 60134-6081

(630) 208-1707 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Vascular Surgeon

Languages spoken

  • English

Location

0n300 Armstrong Ln Geneva , Illinois 60134-6081

First Address

  • Chang Kwon Kim
  • Po Box 546
  • St Charles, IL
  • Zip : 60174-0546
  • Fax : (630) 208-1707
  • Phone : (630) 208-1700

Second Address

  • Chang Kwon Kim
  • 0n300 Armstrong Ln
  • Geneva, IL
  • Zip : 60134-6081
  • Phone : (630) 208-1700

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FAQs


Where did Chang Kwon Kim attend graduate school?

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Where did Chang Kwon Kim do his residency?

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Where did Chang Kwon Kim do his fellowship?

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Is Chang Kwon Kim board certified?

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What type of doctor is Chang Kwon Kim

Surgeon

In what state does Chang Kwon Kim practice in?

Illinois

Where is Chang Kwon Kim ’s practice located?

0n300 Armstrong Ln , Geneva, Illinois, 60134-6081

What is Chang Kwon Kim ’s gender?

Male

Is Chang Kwon Kim a sole practitioner?

No

Is Chang Kwon Kim accepting new patients?

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What languages does Chang Kwon Kim speak?

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Does Chang Kwon Kim accept insurance?

Yes, Chang Kwon Kim accepts insurance

Does Chang Kwon Kim offers telemedicine?

Chang Kwon Kim has not indicated if he offers telemedicine

What is Chang Kwon Kim ’s professional license number?

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What is Chang Kwon Kim ’s NPI number?

1104883768

Does Chang Kwon Kim have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208200000X Surgeon 036060318 IL
Y 208600000X Surgeon 036060318 IL
N 2086S0129X Vascular Surgeon 036060318 IL

National Provider Identifier

NPI 1104883768
Provider Name Chang Kwon Kim
First Address St Charles, IL 60174-0546
Second Address Geneva, IL 60134-6081
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/04/2006
Last Update Date 12/02/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
036060318 (05) IL
D14291 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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