Paul H Kim in East Peoria - Diagnostic Radiology

Paul H Kim - NPI 1508935701

Paul H Kim is a Diagnostic Radiology in East Peoria, Illinois. Paul H Kim practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Paul H Kim is 1508935701. The last update date is 2023-10-23.

Paul H Kim's current location address is 111 Oakwood Rd, East Peoria, Illinois. You can contact this provider via phone number 3097404272. The mailing address for Paul H Kim is 111 Oakwood Rd, East Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul H Kim
Address 111 Oakwood Rd, East Peoria, Illinois
Phone Number 3097404272
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1508935701
Provider Enumeration Date 2006-11-06
Last Updated Date 2023-10-23

Provider Mailing Address Detail

Address 111 Oakwood Rd
City East Peoria
State Illinois (IL)
Post Code 616111853
Phone Number 3097404272
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 36093121
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
615598 BCBS
663210 MEDICARE ID
36093121 IL --

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FAQs about Paul H Kim

What is the Paul H Kim's 1508935701?

The Paul H Kim's NPI (National Provider Identifier) Number is 1508935701. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Paul H Kim is physically located?

The Paul H Kim is physically situated at the following address: 111 Oakwood Rd, East Peoria, IL, 616111853.

What is Paul H Kim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Paul H Kim is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

On what date did the Paul H Kim receive the assignment of its 1508935701 from the Centers for Medicare & Medicaid Services?

The Paul H Kim was issued its 1508935701 by the Centers for Medicare & Medicaid Services on 2006-11-06.

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

The details related to Paul H Kim, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-23.

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