Individual
ANDY TUKI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 258-2440
(217) 258-2186
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 868-2812
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036144439
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2014
Last updated
05/06/2022
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