David Dong Jin Kim

Urology Physician · Chicago, IL

Individual Active NPI

NPI number 1649915364

Practice location

5841 S Maryland Ave # MC5028
Chicago, IL 60637-1443
Phone
(773) 702-1860

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NPI record

NPI
1649915364
Entity type
Individual (Type 1)
Enumeration date
April 28, 2022
Last updated
May 6, 2022
Certified
May 6, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X 125.079702 IL

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Phone
(773) 702-1150

About David Kim

David Dong Jin Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 5841 S Maryland Ave # MC5028, Chicago, IL 60637-1443. The NPI number 1649915364 was assigned on April 28, 2022 and the record was last updated on May 6, 2022.

David Kim lists a license in the registry: #125.079702 (IL) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Dong Jin Kim?

The NPI number is 1649915364.

What is the phone number of David Kim?

The phone number listed for the practice location is (773) 702-1860.

Where is David Kim located?

5841 S Maryland Ave # MC5028, Chicago, IL 60637-1443.

What is the taxonomy code for David Kim?

The primary taxonomy code is 208800000X – Urology Physician.

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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