Ji Min Kim
Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology
259 E Erie St
Chicago
, Illinois 60611-2987
Ji Min Kim
Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology
259 E Erie St
Chicago
, Illinois 60611-2987
(312) 695-6868
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ji Min Kim
- 680 N Lake Shore Dr
- Chicago, IL
- Zip : 60611-4546
- Phone : (312) 695-6868
Second Address
- Ji Min Kim
- 259 E Erie St
- Chicago, IL
- Zip : 60611-2987
- Phone : (312) 695-4517
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner - Acute Care | 209014282 | IL |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 209014282 | IL |
National Provider Identifier
| NPI | 1073960399 |
|---|---|
| Provider Name | Ji Min Kim |
| First Address | Chicago, IL 60611-4546 |
| Second Address | Chicago, IL 60611-2987 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2016 |
| Last Update Date | 02/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.