Individual
MR. HNAHO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2740 W FOSTER AVE, SUITE #412, CHICAGO, IL 60625-3500
(773) 769-1697
(773) 769-5664
Mailing address
2740 W FOSTER AVE, SUITE #412, CHICAGO, IL 60625-3500
(773) 769-1697
(773) 769-5664
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036063000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063000
—
IL
Enumeration date
05/10/2006
Last updated
07/11/2008
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