NPI 1285175109

Stephen Kim, CPO

Practitioner Orthotist Chicago, IL

Practice location

Address: 1304 E 47th St STE 204, Chicago, IL 60653-4695
Phone: (312) 757-5270

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213.000297 (IL)

Other Orthotist providers in Illinois →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211.000412 (IL)

Other Prosthetist providers in Illinois →

Registry record

NPI: 1285175109
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2017
Record last updated: 16 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.