Individual
SUK CHUL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12750 SAINT FRANCIS DR STE 410, CROWN POINT, IN 46307-0264
(219) 769-8340
(219) 769-8341
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071696A
IN
207RI0200X
Infectious Disease Physician
Primary
01071696A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508005380
NPI NUMBER
IN
Enumeration date
02/18/2009
Last updated
02/10/2025
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