Provider Demographics
NPI:1326215039
Name:KIM, BRYAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:M
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8901 W. GOLF ROAD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6850
Mailing Address - Country:US
Mailing Address - Phone:847-698-6300
Mailing Address - Fax:847-698-6002
Practice Address - Street 1:8901 W. GOLF RD
Practice Address - Street 2:SUITE 206
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:847-698-6300
Practice Address - Fax:847-698-6002
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2021-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036123216207WX0107X
IL036.123216207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology