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Individual
DR. CHONG SOO RIM
Active
Individual
DR. CHONG SOO RIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21603473
BLUE SHIELD PROVIDER #
IL
01
—
36921508300
ADVOCATE LUTHERAN NUMBER
IL
01
—
5039
ADVOCATE LUTHERAN PIN
IL
Enumeration date
11/02/2006
Last updated
07/09/2007
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