# DONG S KIM MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932114451
- **Authorized official:** DONG S KIM MD (PHYSICIAN)
- **Authorized official phone:** (847) 933-3555

## Contact information

- **Practice address:** 9700 N KENTON AVE, STE K202, SKOKIE, IL 60076
- **Practice address phone:** (847) 933-3555
- **Practice address fax:** (847) 933-3559
- **Mailing address:** 489 WILLOW RD, WINNETKA, IL 60093-4140
- **Mailing address phone:** (847) 933-3555
- **Mailing address fax:** (847) 933-3559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/17/2007