Individual
DR. CHANG SUN KIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1431 N WESTERN AVE, CHICAGO, IL 60622-1797
(312) 633-5866
(312) 633-5867
Mailing address
1431 N WESTERN AVE, CHICAGO, IL 60622-1797
(312) 633-5866
(312) 633-5867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36057244
IL
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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