Healthcare Provider Details

I. General information

NPI: 1245144088
Provider Name (Legal Business Name): ILMFC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 N SHERIDAN RD STE 1
CHICAGO IL
60640-2515
US

IV. Provider business mailing address

5310 N SHERIDAN RD STE 1
CHICAGO IL
60640-2515
US

V. Phone/Fax

Practice location:
  • Phone: 312-998-0974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: EUI KIM
Title or Position: OWNER
Credential:
Phone: 312-998-0974