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Individual
DR. TAE KIM
Active
Individual
DR. TAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036157530
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
036157530
IL
Other
Enumeration date
04/04/2016
Last updated
03/24/2026
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