Chang Kwon Kim in St Charles - Vascular Surgery
Chang Kwon Kim - NPI 1104883768
Chang Kwon Kim is a Vascular Surgery in St Charles, Illinois. Chang Kwon Kim practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Chang Kwon Kim is 1104883768. The last update date is 2013-02-12.
Chang Kwon Kim's current location address is Po Box 546, St Charles, Illinois. You can contact this provider via phone number 6302081700 and fax number 6302081707. The mailing address for Chang Kwon Kim is Po Box 546, St Charles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chang Kwon Kim |
|---|---|
| Address | Po Box 546, St Charles, Illinois |
| Phone Number | 6302081700 |
| Fax Number | 6302081707 |
| Sole Proprietor | N |
| Credentials | M.D.,F.A.C |
NPI Number Detail
| NPI Number | 1104883768 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2013-02-12 |
Provider Mailing Address Detail
| Address | Po Box 546 |
|---|---|
| City | St Charles |
| State | Illinois (IL) |
| Post Code | 601740546 |
| Phone Number | 6302081700 |
| Fax Number | 6302081707 |
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 | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Chang Kwon Kim by the Centers for Medicare & Medicaid Services?
The Chang Kwon Kim has been issued the NPI (National Provider Identifier) 1104883768, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Chang Kwon Kim is located?
The Chang Kwon Kim is situated at the following address: Po Box 546, St Charles, IL, 601740546.
What is Chang Kwon 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 Chang Kwon Kim is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.
When did Chang Kwon Kim receive its 1104883768 assignment?
The Chang Kwon Kim was assigned its 1104883768 on 2006-04-27, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Chang Kwon Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Chang Kwon Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-12.
NPI Number: 1639172828
Address: 1065 Senator Keating Blvd., Rochester, NY
NPI Number: 1205839487
Address: 1549 Airport Blvd, Pensacola, FL
NPI Number: 1386647527
Address: 22 Corporate Plaza #150, Newport Beach, CA
NPI Number: 1578566758
Address: 10448 Old Olive Street Rd, Creve Coeur, MO
NPI Number: 1245233410
Address: 1a Burton Hills Blvd # L&c, Nashville, TN
NPI Number: 1740283837
Address: 925 Bishop Walsh Rd, Cumberland, MD