Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | IL |
NPI | 1639259096 |
---|---|
Provider Name | Lim-Kuy D Kho |
First Address | Palos Hills, IL 60465 |
Second Address | Chicago, IL 60629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
21603211 | BCBS (01) | |
E28787 | (02) |