Min Kyung Kim
Physical Medicine & Rehabilitation Doctor
1200 S. York #3160
Elmhurst
, Illinois 60126
Min Kyung Kim
Physical Medicine & Rehabilitation Doctor
1200 S. York #3160
Elmhurst
, Illinois 60126
(331) 221-3996
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Min Kyung Kim
- 172 Schiller
- Elmhurst, IL
- Zip : 60126
- Fax : (331) 221-3996
- Phone : (331) 221-9095
Second Address
- Min Kyung Kim
- 1200 S. York #3160
- Elmhurst, IL
- Zip : 60126
- Fax : (331) 221-3996
- Phone : (331) 221-9095
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036116817 | IL |
National Provider Identifier
| NPI | 1003914771 |
|---|---|
| Provider Name | Min Kyung Kim |
| First Address | Elmhurst, IL 60126 |
| Second Address | Elmhurst, IL 60126 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 20/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036116817 | (05) | IL |
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.