Dr Byoung O Kim, MD is a
General Practice physician based in Bolingbrook, Illinois. Dr Byoung O Kim is licensed to practice in Illinois (license number ) and his current practice location is 454 W Boughton Rd, Suite C, Bolingbrook, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 759-0088.
NPI number for Dr Byoung O Kim is 1811063423 and his current mailing address is 454 W Boughton, Suite C, Bolingbrook, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811063423.
Physician's Profile
| Full Name | Dr Byoung O Kim |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 454 W Boughton Rd, Bolingbrook, 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: 1811063423
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Byoung O Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811063423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | (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. Dr Byoung O 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 |
|---|
Dr Byoung O Kim, MD
454 W Boughton, Suite C,
Bolingbrook, IL 60440-1378
Ph: (630) 759-0088 | Dr Byoung O Kim, MD
454 W Boughton Rd, Suite C,
Bolingbrook, IL 60440-1378
Ph: (630) 759-0088 |
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