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Individual

CHRISTINA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3505 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-0300
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036155585
IL
208000000X
Pediatrics Physician
R-11294
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03155585
IL
Enumeration date
06/05/2018
Last updated
05/05/2023
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