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Organization

PEDIATRIC MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUNA YI (OFFICE MANAGER)
(847) 674-4730
Entity
Organization

Contact information

Practice address
9669 KENTON AVE, STE 403, SKOKIE, IL 60076-1266
(847) 674-4730
(847) 674-4732
Mailing address
9669 KENTON AVE, STE 403, SKOKIE, IL 60076-1266
(847) 674-4730
(847) 674-4732

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255321873
SUNBUM KIM, NPI#
IL
01
1780644120
BERNARD HANKIN, NPI#
IL
Enumeration date
04/13/2007
Last updated
03/07/2023
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