Individual
DR. DUK CHIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W LINCOLN ST, SUITE 306, BELLEVILLE, IL 62220-1987
(618) 233-0308
(618) 233-7609
Mailing address
300 W LINCOLN ST, SUITE 306, BELLEVILLE, IL 62220-1987
(618) 233-0308
(618) 233-7609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36050757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008200412
BLUE SHIELD
IL
05
—
036050757
—
IL
01
—
100692
HEALTHLINK
IL
01
—
371054015
COMMERCIAL
IL
01
—
791112090A
RAIL ROAD MEDICARE
IL
Enumeration date
04/11/2007
Last updated
07/09/2007
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