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Individual
DR. GRACE SOO KYUNG BAI
Active
Individual
DR. GRACE SOO KYUNG BAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036103366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633731
BCBS
IL
05
—
036103366
—
IL
Enumeration date
10/03/2005
Last updated
12/07/2021
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