Moon Kim in Oak Brook - Neonatal-perinatal Medicine

Moon Kim - NPI 1114963881

Moon Kim is a Neonatal-perinatal Medicine in Oak Brook, Illinois. Moon Kim practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Moon Kim is 1114963881. The last update date is 2008-07-09.

Moon Kim's current location address is 900 Jorie Blvd, Oak Brook, Illinois. You can contact this provider via phone number 6309546700 and fax number 6309541555. The mailing address for Moon Kim is 900 Jorie Blvd, Oak Brook, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Moon Kim
Address 900 Jorie Blvd, Oak Brook, Illinois
Phone Number 6309546700
Fax Number 6309541555
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114963881
Provider Enumeration Date 2006-06-21
Last Updated Date 2008-07-09

Provider Mailing Address Detail

Address 900 Jorie Blvd
City Oak Brook
State Illinois (IL)
Post Code 605232213
Phone Number 6309546700
Fax Number 6309541555

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 036-056827
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
L76293 IL MEDICARE PIN FOR GROUP #645650
036-085093 IL --

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FAQs about Moon Kim

What is the unique identification code assigned to Moon Kim by the Centers for Medicare & Medicaid Services?

The Moon Kim has been issued the NPI (National Provider Identifier) 1114963881. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Moon Kim is physically located?

The Moon Kim is situated at the following address: 900 Jorie Blvd, Oak Brook, IL 605232213.

What is Moon Kim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Moon Kim's specialized field of practice is Neonatal-perinatal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080N0001X.

On what date did the Moon Kim receive the assignment of its 1114963881 from the Centers for Medicare & Medicaid Services?

The Moon Kim was issued its 1114963881 by the Centers for Medicare & Medicaid Services on 2006-06-21.

When was the information pertaining to Moon Kim most recently updated or revised?

The details related to Moon Kim, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-09.

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