Organization
MIDWEST PODIATRIC PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJIN KIM D.P.M. (PRESIDENT)
(847) 912-9202
Entity
Organization
Contact information
Practice address
1229 N NORTH BRANCH ST, STE 308, CHICAGO, IL 60642-2473
(847) 912-9202
Mailing address
1229 N NORTH BRANCH ST, STE 308, CHICAGO, IL 60642-2473
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005437
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
016005437
IL
213ER0200X
Radiology Podiatrist
016005437
IL
213ES0000X
Sports Medicine Podiatrist
016005437
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005437
IL
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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