Organization
GRACE MEDICAL CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNG S RIM M.D. (PROVIDER)
(847) 854-5533
Entity
Organization
Contact information
Practice address
2250 W ALGONQUIN RD, SUITE 112, LAKE IN THE HILLS, IL 60156-1289
(847) 854-5533
Mailing address
2250 W ALGONQUIN RD, SUITE 112, LAKE IN THE HILLS, IL 60156-1289
(847) 854-5533
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
036083588
IL
Other
Enumeration date
01/22/2007
Last updated
11/17/2011
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