Individual
DR. COURTNEY KIMI SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1211 W ROOSEVELT RD, MAYWOOD, IL 60153-4046
(708) 531-5200
(708) 531-7915
Mailing address
1211 W ROOSEVELT RD, MAYWOOD, IL 60153-4046
(708) 531-5200
(708) 531-7915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036122014
IL
207Q00000X
Family Medicine Physician
125051006
IL
Other
Enumeration date
07/10/2007
Last updated
05/13/2021
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