Brian Sangwook Kim, MD is a
Student In An Organized Health Care Education/training Program physician based in Chicago, Illinois. Brian Sangwook Kim is licensed to practice in Illinois (license number ) and his current practice location is 820 S Wood St Ste 100, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(293) 331-2996.
NPI number for Brian Sangwook Kim is 1508626813 and his current mailing address is 820 S Wood St Ste 100, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508626813.
Physician's Profile
| Full Name | Brian Sangwook Kim |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 820 S Wood St Ste 100, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508626813
- Provider Enumeration Date: 03/21/2024
- Last Update Date: 08/21/2024
Medical Identifiers
Medical identifiers for Brian Sangwook Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508626813 | NPI | - | NPPES |
| 125084826 | Other | IL | TEMPORARY MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 125084826 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Sangwook Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brian Sangwook Kim, MD
820 S Wood St Ste 100,
Chicago, IL 60612-4325
Ph: (293) 331-2996 | Brian Sangwook Kim, MD
820 S Wood St Ste 100,
Chicago, IL 60612-4325
Ph: (293) 331-2996 |
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