Individual
STEPHEN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1304 E 47TH ST STE 204, CHICAGO, IL 60653-4695
(312) 757-5270
Mailing address
1304 E 47TH ST STE 204, CHICAGO, IL 60653-4695
(312) 757-5270
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
213.000297
IL
224P00000X
Prosthetist
211.000412
IL
Other
Enumeration date
03/10/2017
Last updated
10/16/2024
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