Individual
DR. CHUNG S RIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10350 HALIGUS RD STE 200, HUNTLEY, IL 60142
(815) 338-6600
(847) 802-7203
Mailing address
10350 HALIGUS RD STE 200, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036083588
IL
207Q00000X
Family Medicine Physician
Primary
036083588
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036083588
STATE LICENSE
IL
01
—
5632092
BCBS
IL
01
—
K04173
MEDICARE PIN
IL
Enumeration date
02/17/2006
Last updated
10/19/2018
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