Organization
DR JOSEPH S KIM DPM
Active
Other names
DR. JOSEPH KI M - FOOT AND ANKLE SPECIALIST, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH S KIM DPM (DOCTOR)
(773) 989-1699
Entity
Organization
Contact information
Practice address
5140 N CALIFORNIA AVE, STE 515, CHICAGO, IL 60625-3645
(773) 989-1699
(773) 989-1698
Mailing address
5140 N CALIFORNIA AVE, STE 515, CHICAGO, IL 60625-3645
(773) 989-1699
(773) 989-1698
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004326
—
IL
Enumeration date
06/01/2011
Last updated
06/01/2011
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