Roger Hoon Kim
Surgical Oncologist
315 W Carpenter St Fl C2
Springfield
, Illinois 62702-4901
Roger Hoon Kim
Surgical Oncologist
315 W Carpenter St Fl C2
Springfield
, Illinois 62702-4901
(217) 545-7442
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Roger Hoon Kim
- Po Box 19677
- Springfield, IL
- Zip : 62794-9677
- Fax : (217) 545-7442
- Phone : (217) 545-8000
Second Address
- Roger Hoon Kim
- 315 W Carpenter St Fl C2
- Springfield, IL
- Zip : 62702-4901
- Fax : (217) 545-7442
- Phone : (217) 545-8000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086X0206X | Surgical Oncologist | 0101241581 | VA |
| Y | 2086X0206X | Surgical Oncologist | 036-144271 | IL |
| N | 2086X0206X | Surgical Oncologist | MD.203302 | LA |
National Provider Identifier
| NPI | 1225237704 |
|---|---|
| Provider Name | Roger Hoon Kim |
| First Address | Springfield, IL 62794-9677 |
| Second Address | Springfield, IL 62702-4901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2007 |
| Last Update Date | 07/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-144271 | STATE LICENSE (01) | 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.