Doctor Name: | HEE SEORK KIM |
NPI Number: | 1053308700 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01031676 |
Business Practice Address: | 1201 S Main St Crown Point, IN - 463078481 |
Business Phone Number: | 2197576320 |
Business Fax Number: | 2197386714 |
Mailing Address: | 55 E 86th Ave, Po Box 10645 MERRILLVILLE |
State: | IN |
Postal Code: | 464106382 |
Phone Number: | 2197691670 |
Fax Number: | 2197386714 |
NPI Enumeration Date: | 09/28/2005 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | 01031676 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |