Search › Illinois › 207L00000X
Andy Kim, M.D
NPI 1558789255 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1000 Health Center Dr
Mattoon, IL 61938 - Phone
- (217) 258-2440
- Fax
- (217) 258-2186
- Organisation at this address
- Sarah Bush Lincoln Health Center
Sarah Bush Lincoln Health Center
Sarah Bush Lincoln Health Center
Sarah Bush Lincoln Health Center
Sarah Bush Lincoln Home InfusionInferred from a shared address, not stated in the registry. - Clinicians at this address
- 254
Additional practice sites
- 1155 Mill St, Reno, NV
- 800 E Carpenter St, Springfield, IL
- 2160 S 1st Ave, Maywood, IL
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois