Individual
YEONG H. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 S ROSELLE RD, #207, SCHAUMBURG, IL 60193-2971
(847) 301-1212
(847) 301-1277
Mailing address
455 S ROSELLE RD, #207, SCHAUMBURG, IL 60193-2971
(847) 301-1212
(847) 301-1277
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036044777
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044777
—
IL
01
—
110067930
RAILROAD MEDICARE
IL
01
—
21603515
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/12/2006
Last updated
11/17/2010
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