Individual
DAVID DONG JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE # MC5028, CHICAGO, IL 60637-1443
(773) 702-1860
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125.079702
IL
Other
Enumeration date
04/28/2022
Last updated
05/06/2022
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