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Individual
DR. CHUNG S RIM
Active
Individual
DR. CHUNG S RIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036083588
IL
207Q00000X
Family Medicine Physician
Primary
036083588
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036083588
STATE LICENSE
IL
01
—
5632092
BCBS
IL
01
—
K04173
MEDICARE PIN
IL
Enumeration date
02/17/2006
Last updated
10/19/2018
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