Individual
SOO Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
934 CENTER ST, ELGIN, IL 60120-2125
(847) 742-9800
Mailing address
PO BOX 5133, CHICAGO, IL 60680-5133
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360487431
—
IL
Enumeration date
06/02/2006
Last updated
07/11/2007
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