Individual
INAE JANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6201 W 95TH ST, OAK LAWN, IL 60453-3888
(708) 636-9393
(708) 636-2022
Mailing address
2321 S WABASH AVE APT 9, CHICAGO, IL 60616-4828
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.075774
IL
207W00000X
Ophthalmology Physician
Primary
3360170383
IL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
036170383
IL
207WX0120X
Cornea and External Diseases Specialist Physician
036170383
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.075774
IL
Other
Enumeration date
05/04/2020
Last updated
01/05/2026
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