- Practice location
- 5359 W Fullerton Ave, Chicago, IL 60639-1450
- Phone
- 773-836-2785
- Fax
- 773-836-7381
- Last updated
- December 24, 2019
Thomas Ouyjuung Kim is a Family Medicine based in Chicago, IL. Thomas Ouyjuung Kim practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Thomas Ouyjuung Kim is 1407083488 and holds a License No. 241080 (MA). The current practice location address for Thomas Ouyjuung Kim is 5359 W Fullerton Ave, Chicago, IL 60639-1450 and can be reached out via phone at 773-836-2785 and via fax at 773-836-7381.
Provider Profile Details
- NPI Number
- 1407083488
- Provider Name
- Thomas Ouyjuung Kim
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5359 W Fullerton Ave, Chicago, IL 60639-1450
- Phone Number
- 773-836-2785
- Fax Number
- 773-836-7381
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 17, 2009
- Last Update Date
- December 24, 2019
- Certification Date
- December 24, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5359 W Fullerton Ave
Chicago, IL 60639-1450 - City
- Chicago
- State
- Illinois
- Zip
- 60639-1450
- Phone Number
- 773-836-2785
- Fax Number
- 773-836-7381
Provider Business Mailing Address Details
- Address
- Po Box 526
Lynn, MA 01903-0626 - City
- Lynn
- State
- MA
- Zip
- 01903-0626
- Phone Number
- 781-581-3900
- Fax Number
- 781-598-1050
License Information
- License Number (1)
- 241080
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 036143911
- License State (2)
- IL
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Chicago, IL
View all Family Medicine providers in Chicago →Frequently Asked Questions
What is the NPI number of Thomas O Kim, MD?
The NPI number of Thomas O Kim, MD is 1407083488. It was assigned on June 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Thomas O Kim, MD?
Thomas O Kim, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 241080.
Where does Thomas O Kim, MD practice?
The practice location is 5359 W Fullerton Ave, Chicago, IL 60639-1450. The office can be reached at 773-836-2785 (phone) or 773-836-7381 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407083488 directly on the NPPES registry website.