Yoonjung Kim is a Dentist in Hanover Park, Illinois. Yoonjung Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Yoonjung Kim is 1407845985. The last update date is 2015-03-10.
Yoonjung Kim's current location address is 1290 Bamburg Ct, Hanover Park, Illinois. You can contact this provider via phone number 6308304840 and fax number 6308304891. The mailing address for Yoonjung Kim is 1290 Bamburg Ct, Hanover Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yoonjung Kim |
|---|---|
| Address | 1290 Bamburg Ct, Hanover Park, Illinois |
| Phone Number | 6308304840 |
| Fax Number | 6308304891 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1407845985 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2015-03-10 |
Provider Mailing Address Detail
| Address | 1290 Bamburg Ct |
|---|---|
| City | Hanover Park |
| State | Illinois (IL) |
| Post Code | 601335257 |
| Phone Number | 6308304840 |
| Fax Number | 6308304891 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19025124 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Yoonjung Kim by the Centers for Medicare & Medicaid Services?
The Yoonjung Kim has been issued the NPI (National Provider Identifier) 1407845985 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Yoonjung Kim's facilities are situated?
The facilities of Yoonjung Kim are physically located at the following address: 1290 Bamburg Ct, Hanover Park, IL, 601335257.
What is Yoonjung Kim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Yoonjung Kim is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407845985 to Yoonjung Kim?
The Centers for Medicare & Medicaid Services originally issued the 1407845985 to Yoonjung Kim on 2005-10-18.
When was the information related to Yoonjung Kim most recently updated or refreshed?
The details pertaining to the Yoonjung Kim, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-10.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY