| Susan L. Kim Medical Associates Pllc | |
|
2601 Compass Rd Ste 135 Glenview IL 60026-8077 | |
| (224) 255-5408 | |
| Not Available |
| Full Name | Susan L. Kim Medical Associates Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 Compass Rd Ste 135, Glenview, Illinois |
| Authorized Official Name and Position | Susan Kim (PRESIDENT) |
| Authorized Official Contact | 8477120477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L. Kim Medical Associates Pllc 2807 Park Ln Glenview IL 60025-2691 Ph: (847) 712-0477 | Susan L. Kim Medical Associates Pllc 2601 Compass Rd Ste 135 Glenview IL 60026-8077 Ph: (224) 255-5408 |
| NPI Number | 1295434538 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 05/15/2023 |
| Medicare PECOS PAC ID | 2062877269 |
|---|---|
| Medicare Enrollment ID | O20230421001851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295434538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Susan Lee Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568643211 PECOS PAC ID: 2466502117 Enrollment ID: I20090618000226 |
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