Individual
DR. JOSEPH SUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5140 N CALIFORNIA AVE, STE 515, CHICAGO, IL 60625-3645
(773) 989-1699
(773) 989-1698
Mailing address
5140 N CALIFORNIA AVE, STE 515, CHICAGO, IL 60625-3645
(773) 989-1699
(773) 989-1698
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004326
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016004326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004326
—
IL
01
—
IL5729
MEDICARE PTAN
IL
Enumeration date
07/13/2005
Last updated
10/08/2021
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