Provider Demographics
NPI:1326114216
Name:LIM-KUY D KHO MD SC
Entity Type:Organization
Organization Name:LIM-KUY D KHO MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIM KUY
Authorized Official - Middle Name:D
Authorized Official - Last Name:KHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD SC
Authorized Official - Phone:708-598-3104
Mailing Address - Street 1:8545 BRECKENRIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465
Mailing Address - Country:US
Mailing Address - Phone:708-598-3104
Mailing Address - Fax:
Practice Address - Street 1:5525 S PULASKI
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629
Practice Address - Country:US
Practice Address - Phone:773-585-1955
Practice Address - Fax:773-284-5268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty