Provider Demographics
NPI:1013203686
Name:SIM, YUNG CHUL (MD)
Entity Type:Individual
Prefix:
First Name:YUNG
Middle Name:CHUL
Last Name:SIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:213 N RACINE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1644
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:773-866-8014
Practice Address - Street 1:3348 W 87TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-3767
Practice Address - Country:US
Practice Address - Phone:773-766-4471
Practice Address - Fax:773-564-3510
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2015-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN11016027A207Q00000X
IL036137437207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine