Individual
DR. S THERESA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5875 N LINCOLN AVE, SUITE 131, CHICAGO, IL 60659-4672
(773) 878-7222
(773) 878-7221
Mailing address
706 W HUNTINGTON COMMONS RD, #1A, MOUNT PROSPECT, IL 60056-5159
(847) 387-0911
(773) 878-7221
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01059631A
IN
Other
Enumeration date
02/12/2009
Last updated
03/03/2009
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