Individual
WON D KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7425 JANES AVE, WOODRIDGE, IL 60517-2356
(815) 300-7106
Mailing address
7425 JANES AVE, WOODRIDGE, IL 60517-2356
(815) 300-7764
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036057245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057245
—
IL
Enumeration date
04/17/2006
Last updated
10/28/2020
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