Eun Ha Kim, NP

Nurse Practitioner · Maywood, IL

Individual Active NPI

NPI number 1164540480

Practice location

2160 S. First Ave.
Room 1862a
Maywood, IL 60153
Phone
(708) 216-4542
Fax
(708) 216-6961

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NPI record

NPI
1164540480
Entity type
Individual (Type 1)
Enumeration date
March 26, 2007
Last updated
April 23, 2021
Certified
April 23, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209-002887 IL

Mailing address

2160 S 1st Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000

About Eun Kim

Eun Ha Kim, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2160 S. First Ave., Room 1862a, Maywood, IL 60153. The NPI number 1164540480 was assigned on March 26, 2007 and the record was last updated on April 23, 2021.

Eun Kim lists a license in the registry: #209-002887 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eun Ha Kim, NP?

The NPI number is 1164540480.

What is the phone number of Eun Kim?

The phone number listed for the practice location is (708) 216-4542.

Where is Eun Kim located?

2160 S. First Ave., Room 1862a, Maywood, IL 60153.

What is the taxonomy code for Eun Kim?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

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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