Individual
DR. TOM S. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5108
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036113598
IL
208M00000X
Hospitalist Physician
Primary
036-113598
IL
208M00000X
Hospitalist Physician
82517
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246942
—
WI
Enumeration date
08/17/2006
Last updated
03/20/2025
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