Individual
SUE J. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 SKOKIE BLVD, NORTHBROOK, IL 60062-2802
(847) 504-3300
(847) 504-3305
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036109449
IL
207YP0228X
Pediatric Otolaryngology Physician
Primary
036-109449
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-109449
—
IL
Enumeration date
09/20/2005
Last updated
05/01/2026
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