Individual
JEE HWAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18610 BURNHAM AVE STE D, LANSING, IL 60438-3500
(708) 895-0778
Mailing address
1044 W VAN BUREN ST APT 1602, CHICAGO, IL 60607-3251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019034167
IL
Other
Enumeration date
04/05/2022
Last updated
11/01/2023
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