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Individual

KYU YUP KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHP

Contact information

Practice address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 354-0826
(708) 354-0867
Mailing address
707 W WAVELAND AVE, #1001, CHICAGO, IL 60613-4188
(773) 366-8939

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/22/2008
Last updated
10/22/2008
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