Basic Information
| Provider Information | |||||||||
| NPI: | 1326114216 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LIM-KUY D KHO MD SC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8545 BRECKENRIDGE DRIVE | ||||||||
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| City: | PALOS HILLS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7085983104 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5525 S PULASKI | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7735851955 | ||||||||
| FaxNumber: | 7732845268 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | KHO | ||||||||
| AuthorizedOfficialFirstName: | LIM KUY | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7085983104 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD SC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0105X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Surgery of the Hand |
No ID Information.