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Individual
THOMAS Y KIM
Active
Individual
THOMAS Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-101858
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0607120001
CIGNA GROUP #
IL
01
—
1615125
BLUE SHIELD GROUP #
IL
Enumeration date
07/29/2005
Last updated
07/16/2024
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