Individual
MOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 JORIE BLVD, SUITE 186, OAK BROOK, IL 60523-2213
(630) 954-6700
(630) 954-1555
Mailing address
900 JORIE BLVD, SUITE 186, OAK BROOK, IL 60523-2213
(630) 954-6700
(630) 954-1555
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-056827
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-085093
—
IL
01
—
L76293
MEDICARE PIN FOR GROUP #645650
IL
Enumeration date
06/21/2006
Last updated
07/09/2008
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