Individual
TAEHAN P KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
800 N WESTMORELAND RD, LAKE FOREST, IL 60045-1673
(847) 535-7664
(224) 271-3150
Mailing address
800 N WESTMORELAND RD STE 201, LAKE FOREST, IL 60045-1687
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.169900
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
04/07/2020
Last updated
10/17/2024
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