Provider Demographics
NPI:1699047696
Name:STEVE J. KIM, MD, SC
Entity type:Organization
Organization Name:STEVE J. KIM, MD, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-637-0557
Mailing Address - Street 1:1755 S NAPERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-5844
Mailing Address - Country:US
Mailing Address - Phone:630-315-4114
Mailing Address - Fax:630-510-3187
Practice Address - Street 1:1755 S NAPERVILLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-5844
Practice Address - Country:US
Practice Address - Phone:630-315-4114
Practice Address - Fax:630-510-3187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty