Sumin Kim

General Practice Dentistry · Cicero, IL

Individual Active NPI

NPI number 1124720859

Practice location

2254 S Cicero Ave
Cicero, IL 60804-2411
Phone
(708) 656-2222

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NPI record

NPI
1124720859
Entity type
Individual (Type 1)
Enumeration date
March 20, 2023
Last updated
July 12, 2023
Certified
July 12, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.034426 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

247 E 28TH St Apt 17f
New York, NY 10016-7238
Phone
(217) 417-2922

About Sumin Kim

Sumin Kim is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2254 S Cicero Ave, Cicero, IL 60804-2411. The NPI number 1124720859 was assigned on March 20, 2023 and the record was last updated on July 12, 2023.

Sumin Kim lists a license in the registry: #019.034426 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sumin Kim?

The NPI number is 1124720859.

What is the phone number of Sumin Kim?

The phone number listed for the practice location is (708) 656-2222.

Where is Sumin Kim located?

2254 S Cicero Ave, Cicero, IL 60804-2411.

What is the taxonomy code for Sumin Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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