Individual
MRS. YOU S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
370 LARRY POWER RD, SUITE 1, BOURBONNAIS, IL 60914-5194
(815) 937-3515
(815) 935-4916
Mailing address
370 LARRY POWER RD, SUITE 1, BOURBONNAIS, IL 60914-5194
(815) 937-3515
(815) 935-4916
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036062285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062285
—
IL
01
—
4607575
BC/BS
IL
Enumeration date
08/15/2006
Last updated
01/20/2012
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