Elijah Kim

General Surgery

Springfield, IL 62702

Male - 13 Yrs Experience - English

Location

800 E Carpenter Rm
2k20

Springfield, IL 62702

Phone number

(217) 544-6464

Summary

Elijah Kim is a General Surgery located at Springfield, IL 62702 and is affiliated with St Johns Hospital Hospitals. He received his medical degree from New York University School Of Medicine and has been in practice for more than 13 years.

Professional Identification

  1. NPI#: 1003045097
  2. PAC ID: 0840500906
  3. Clinician Enrollment ID: I20170922002305
  4. Gender: Male
  5. Enumeration: July 10 2009
  6. Last Updated: September 27 2019

Medical Credentials

  1. Credential: Undefined
  2. Medical school: New York University School Of Medicine
  3. Graduation year: 2009
  4. Taxonomy: 208600000X
  5. Specialty: General Surgery
  6. All specialties: Critical Care (intensivists)

Medical Practice

  1. Organization: Springfield Clinic Llp
  2. Group PAC ID: 0547166076
  3. Number of Group Members: 616
  4. Medicare CCN: 140053
  5. Hospital affiliation: St Johns Hospital
  6. Medicare CCN: 310017
  7. Hospital affiliation: Chilton Medical Center
  8. Medicare CCN: 110087
  9. Hospital affiliation: Northside Hospital Gwinnett

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 800 E Carpenter Rm, Springfield IL 62702 (217) 544-6464
  2. 301 N 8th St 6th Flr, Springfield IL 62701 (217) 528-7541
  3. 97 W Pkwy, Pompton Plains NJ 07444 (973) 831-5063
  4. 1000 Medical Ctr Blvd, Lawrenceville GA 30046 (678) 312-4321

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