Individual
JEE SUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3309 W NORTH AVE, CHICAGO, IL 60647-4901
(773) 661-9722
Mailing address
855 W MADISON ST APT 506N, CHICAGO, IL 60607-3137
(571) 263-4824
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031846
IL
Other
Enumeration date
05/09/2018
Last updated
12/16/2021
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