Individual
DR. CHONG SOO RIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 740, CHICAGO, IL 60625-3645
(773) 275-4446
Mailing address
5140 N CALIFORNIA AVE, SUITE 740, CHICAGO, IL 60625-3645
(773) 275-4446
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21603473
BLUE SHIELD PROVIDER #
IL
01
—
36921508300
ADVOCATE LUTHERAN NUMBER
IL
01
—
5039
ADVOCATE LUTHERAN PIN
IL
Enumeration date
11/02/2006
Last updated
07/09/2007
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