Individual
DR. JEFFREY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(224) 783-8950
Mailing address
511 SIXTH AVE, 228, NEW YORK, NY 10011
(718) 637-4677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036158933
IL
207L00000X
Anesthesiology Physician
244511-1
NY
207L00000X
Anesthesiology Physician
A103032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03053129
—
NY
Enumeration date
07/06/2007
Last updated
10/16/2023
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