Individual
DR. JANE C KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 W CURTIS ROAD, FAMILY MEDICINE/CONVENIENT CARE, CHAMPAIGN, IL 61822
(217) 365-6201
(217) 326-1234
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036121321
IL
207QA0505X
Adult Medicine Physician
01064244A
IN
208M00000X
Hospitalist Physician
036121321
IL
Other
Enumeration date
03/07/2008
Last updated
05/22/2017
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