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Individual
DR. SUSAN LEE KIM
Active
Individual
DR. SUSAN LEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036122610
IL
208M00000X
Hospitalist Physician
036122610
IL
261QP2300X
Primary Care Clinic/Center
036122610
IL
Other
Enumeration date
11/23/2007
Last updated
12/01/2023
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