Individual
STEPHANIE HEEYEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
2650 RIDGE AVE., IM/ICU HOSPITALISTS, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036166799
IL
207R00000X
Internal Medicine Physician
1063090595
IL
207R00000X
Internal Medicine Physician
125.078589
IL
208M00000X
Hospitalist Physician
Primary
036166799
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
04/18/2024
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