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Organization
KIM ANESTHESIOLOGISTS, P.C.
Active
Organization
KIM ANESTHESIOLOGISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILJUNG KENNETH KIM M.D. (PRESIDENT)
(773) 356-5381
Entity
Organization
Contact information
Practice address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
(773) 356-5381
Mailing address
PO BOX 597903, CHICAGO, IL 60659-7903
(815) 941-1317
(815) 941-1421
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036047946
IL
Other
Enumeration date
04/24/2007
Last updated
10/29/2014
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