Individual
DR. JUN DONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 W CHICAGO AVE STE F, EAST CHICAGO, IN 46312-3261
(219) 392-7016
(219) 397-6904
Mailing address
338 LARRY POWER RD, BOURBONNAIS, IL 60914-4430
(815) 935-4651
(815) 935-2970
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02004986A
IN
207V00000X
Obstetrics & Gynecology Physician
036136056
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036136056
—
IL
Enumeration date
02/02/2012
Last updated
07/31/2019
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