Dong Ouk Kim is a Surgery in Kankakee, Illinois. Dong Ouk Kim practices all healthcare services and medical treatments related to Surgery. The NPI Number for Dong Ouk Kim is 1104938984. The last update date is 2007-07-08.
Dong Ouk Kim's current location address is 400 N Wall St, Kankakee, Illinois. You can contact this provider via phone number 8159332221 and fax number 8159337363. The mailing address for Dong Ouk Kim is 400 N Wall St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dong Ouk Kim |
|---|---|
| Address | 400 N Wall St, Kankakee, Illinois |
| Phone Number | 8159332221 |
| Fax Number | 8159337363 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104938984 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 N Wall St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609012940 |
| Phone Number | 8159332221 |
| Fax Number | 8159337363 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dong Ouk Kim by the Centers for Medicare & Medicaid Services?
The Dong Ouk Kim has been issued the NPI (National Provider Identifier) 1104938984, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dong Ouk Kim?
The Dong Ouk Kim is situated at 400 N Wall St, in the city of Kankakee, state of IL, with the zip code 609012940.
What is Dong Ouk Kim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dong Ouk Kim's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Dong Ouk Kim receive the assignment of its 1104938984 from the Centers for Medicare & Medicaid Services?
The Dong Ouk Kim was issued its 1104938984 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information pertaining to Dong Ouk Kim, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dong Ouk Kim, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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