Chang K Kim Md Pc in Geneva - Vascular Surgery

Chang K Kim Md Pc - NPI 1831391689

Chang K Kim Md Pc is a Vascular Surgery in Geneva, Illinois. Chang K Kim Md Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Chang K Kim Md Pc is 1831391689. The last update date is 2013-02-12.

Chang K Kim Md Pc's current location address is 0n300 Armstrong Ln, Geneva, Illinois. You can contact this provider via phone number 6302081700. The mailing address for Chang K Kim Md Pc is 0n300 Armstrong Ln, Geneva, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chang K Kim Md Pc
Address 0n300 Armstrong Ln, Geneva, Illinois
Phone Number 6302081700
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kim K Chang
Telephone Number 6302081700

NPI Number Detail

NPI Number 1831391689
Provider Enumeration Date 2007-06-04
Last Updated Date 2013-02-12

Provider Mailing Address Detail

Address 0n300 Armstrong Ln
City Geneva
State Illinois (IL)
Post Code 601346081
Phone Number 6302081700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 36060318
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36060318 IL --
20019386 IL RAILROAD MEDICARE
2201303 IL BLUE CROSS BLUE SHIELD

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FAQs about Chang K Kim Md Pc

What is the unique 10-digit identification code issued to Chang K Kim Md Pc by the Centers for Medicare & Medicaid Services?

The Chang K Kim Md Pc has been assigned the NPI (National Provider Identifier) 1831391689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Chang K Kim Md Pc is located?

The Chang K Kim Md Pc is situated at the following address: 0N300 Armstrong Ln, Geneva, IL, 601346081.

What is Chang K Kim Md Pc's area of expertise and its corresponding taxonomy classification?

The Chang K Kim Md Pc's field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.

On what date did the Chang K Kim Md Pc receive the assignment of its 1831391689 from the Centers for Medicare & Medicaid Services?

The Chang K Kim Md Pc was issued its 1831391689 by the Centers for Medicare & Medicaid Services on 2007-06-04.

As of what date was the information regarding Chang K Kim Md Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Chang K Kim Md Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-12.

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