Individual
ANDREW GENE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1285
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.163079
IL
Other
Enumeration date
03/27/2017
Last updated
09/11/2023
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