Individual
HAE KYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 N IL ROUTE 31 FL 2, CRYSTAL LAKE, IL 60012-3713
(708) 456-4242
Mailing address
420 N IL ROUTE 31 FL 2, CRYSTAL LAKE, IL 60012-3713
(708) 835-7582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005732
IL
Other
Enumeration date
09/29/2025
Last updated
06/26/2026
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