Stephen Kim, CPO
Stephen Kim, CPO is a Prosthetist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1304 E 47th St Ste 204Chicago, IL 60653-4695
Phone: (312) 757-5270
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Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence 213.000297 (IL) |
|---|---|
| Prosthetist | Taxonomy 224P00000X · Licence 211.000412 (IL) |
Record details
| NPI number | 1285175109 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO |
| Sole proprietor | Yes |
| NPI enumerated | March 10, 2017 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 16, 2024 |
| Mailing address | 1304 E 47th St Ste 204, Chicago, IL 60653-4695 |
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