Individual
DR. DONG S KIM
Active
Individual
DR. DONG S KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036101382
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622554
BS OF ILL
IL
05
—
036101382
—
IL
Enumeration date
02/28/2006
Last updated
12/15/2016
Update your record
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