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Elijah Kim

Surgeon Trauma Surgeon Surgical Critical Care and 1 more

800 E Carpenter St
Springfield , Illinois 62769

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Image

Elijah Kim

Surgeon Trauma Surgeon Surgical Critical Care and 1 more

800 E Carpenter St
Springfield , Illinois 62769

(901) 614-0139

Write a Review Save Call

Elijah Kim

Surgeon Trauma Surgeon Surgical Critical Care and 1 more

800 E Carpenter St
Springfield , Illinois 62769

(901) 614-0139 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Surgical Critical Care
  • Trauma Surgeon

Languages spoken

  • English

Location

800 E Carpenter St Springfield , Illinois 62769

First Address

  • Elijah Kim
  • 1779 Kirby Pkwy Ste 15207
  • Memphis, TN
  • Zip : 38138-3666
  • Phone : (901) 614-0139

Second Address

  • Elijah Kim
  • 800 E Carpenter St
  • Springfield, IL
  • Zip : 62769
  • Phone : (217) 528-7541

Reviews

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FAQs


Where did Elijah Kim attend graduate school?

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Where did Elijah Kim do his residency?

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Where did Elijah Kim do his fellowship?

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Is Elijah Kim board certified?

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What type of doctor is Elijah Kim

Trauma Surgeon

In what state does Elijah Kim practice in?

Illinois

Where is Elijah Kim ’s practice located?

800 E Carpenter St , Springfield, Illinois, 62769

What is Elijah Kim ’s gender?

Male

Is Elijah Kim a sole practitioner?

No

Is Elijah Kim accepting new patients?

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What languages does Elijah Kim speak?

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Does Elijah Kim accept insurance?

Yes, Elijah Kim accepts insurance

Does Elijah Kim offers telemedicine?

Elijah Kim has not indicated if he offers telemedicine

What is Elijah Kim ’s professional license number?

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What is Elijah Kim ’s NPI number?

1003045097

Does Elijah Kim have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208200000X Surgeon 036-143764 IL
N 208600000X Surgeon 036-143764 IL
N 208200000X Surgeon 52389 TN
N 208600000X Surgeon 52389 TN
N 2086S0102X Surgical Critical Care 036-143764 IL
N 2086S0102X Surgical Critical Care 52389 TN
Y 2086S0127X Trauma Surgeon 036-143764 IL

National Provider Identifier

NPI 1003045097
Provider Name Elijah Kim
First Address Memphis, TN 38138-3666
Second Address Springfield, IL 62769
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 10/07/2009
Last Update Date 04/11/2021

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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