Individual
RAELENE D KENNEDY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
351 DELNOR DR STE 400, GENEVA, IL 60134-4228
(630) 668-0833
(630) 208-4373
Mailing address
351 DELNOR DR STE 400, GENEVA, IL 60134-4228
(630) 668-0833
(630) 208-4373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-148573
IL
2086S0102X
Surgical Critical Care Physician
036-148573
IL
2086S0127X
Trauma Surgery Physician
Primary
036148573
IL
Other
Enumeration date
08/05/2009
Last updated
01/13/2026
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