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Contact Information

TAE YEON KIM, MD
2650 RIDGE AVE.
PEDIATRIC HOSPITALISTS
EVANSTON, IL60201
 Phone: 847-570-1027
 Fax: 847-733-5108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TAE YEON KIM · (Female)

NPI # 1104387638
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2019
Last updated 05/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.159364
  • IL License # 036159364
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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