Individual
HAE KYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7500 W MONTROSE AVE, NORRIDGE, IL 60706-1196
(708) 456-4242
Mailing address
8201 LAKE ST, RIVER FOREST, IL 60305-1619
(708) 835-7582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005732
IL
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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