Individual
MIN WOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
801 S PAULINA ST RM 119D, CHICAGO, IL 60612-7210
(312) 996-1052
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
019-033248
IL
Other
Enumeration date
04/01/2021
Last updated
06/22/2021
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