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General NPI Number Information
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NPI Number | 1750541967
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Entity Type | Organization
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Legal Business Name | YEONG H. KIM MD, FACC, SC
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 455 S ROSELLE RD SUITE 207
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City | SCHAUMBURG
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State | IL
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Zip | 60193-2971
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Country | US
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Telephone | 847-301-1212
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Fax | 847-301-1277
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Provider Business Mailing Address
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Address Line | 455 S ROSELLE RD SUITE 207
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City | SCHAUMBURG
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State | IL
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Zip | 60193-2971
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Country | US
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Telephone | 847-301-1212
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Fax | 847-301-1277
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YEONG H. KIM
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Credential | MD
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Telephone | 847-301-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036044777
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License Number State | IL
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