| Jong Kim Family Medicine | |
|
8777 Broadway Suite C Merrillville IN 46410-6693 | |
| (219) 738-3550 | |
| (219) 757-6727 |
| Full Name | Jong Kim Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 8777 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Jong H Kim (OWNER) |
| Authorized Official Contact | 2197383550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jong Kim Family Medicine 8777 Broadway Suite C Merrillville IN 46410-6693 Ph: (219) 738-3550 | Jong Kim Family Medicine 8777 Broadway Suite C Merrillville IN 46410-6693 Ph: (219) 738-3550 |
| NPI Number | 1821273962 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821273962 | NPI | - | NPPES |
| 100200870 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01036861A (Indiana) | Primary |
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