Individual
DR. DAVID HAK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 SPALDING DR STE 400, NAPERVILLE, IL 60540-6554
(630) 718-2660
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036120116
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036120116
IL
207RC0000X
Cardiovascular Disease Physician
46359
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036120116
BCBS
IL
05
—
036120116
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
909980009
MEDICARE PTAN
IL
01
—
F400224849
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
02/28/2008
Last updated
08/09/2023
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