Organization
BOLINGBROOK WOMENS CLINIC S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG J KIM MD (DR OWNER)
(630) 759-2966
Entity
Organization
Contact information
Practice address
396 REMINGTON BLVD, SUITE 250, BOLINGBROOK, IL 60440
(630) 759-2966
(630) 759-6977
Mailing address
396 REMINGTON BLVD, SUITE 250, BOLINGBROOK, IL 60440-4920
(630) 759-2966
(630) 759-6977
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09915052
BLUE SHIELD
IL
05
—
200963020A
—
IN
Enumeration date
10/26/2007
Last updated
07/21/2022
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