Jong Kim Family Medicine | |
8777 Broadway Suite C Merrillville IN 46410-6693 | |
(219) 738-3550 | |
(219) 757-6727 |
Full Name | Jong Kim Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 8777 Broadway, Merrillville, Indiana |
Authorized Official Name and Position | Jong H Kim (OWNER) |
Authorized Official Contact | 2197383550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jong Kim Family Medicine 8777 Broadway Suite C Merrillville IN 46410-6693 Ph: (219) 738-3550 | Jong Kim Family Medicine 8777 Broadway Suite C Merrillville IN 46410-6693 Ph: (219) 738-3550 |
NPI Number | 1821273962 |
---|---|
Provider Enumeration Date | 01/08/2008 |
Last Update Date | 01/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821273962 | NPI | - | NPPES |
100200870 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01036861A (Indiana) | Primary |
News Archive
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