Sung Sup Kim M.D. P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SUNG SUP KIM M.D. P.C.

Practice address

5140 N California Ave
Suite G 465
Chicago, IL 60625-3645

Phone

(773) 271-8700

Fax

(773) 271-5912

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sung Sup Kim, M.D.

Title

Owner

Phone

(773) 271-8700

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1205933355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE G 465",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-271-8700",
            "fax_number": "773-271-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE G 465",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-271-8700",
            "fax_number": "773-271-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG SUP KIM M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "SUP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-271-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN#",
            "identifier": "DF8696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31604584",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lohini Sundharkrishnan, M.D
• Sundial Counseling PLLC
• Angela Sundstrom, LPC
• Sunflower Counseling Group, LLC
• Sunflower Wellness, PLLC
• Audrey Soojung Sung
• Jeehee Sung, M.A.
• Kaitlin Sung
• Sarah Sung, M.D.
• Tae Hyun Sung, MD

• Cardiovascular Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.