Individual
JOY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
327 GUNDERSEN DR, SUITE C, CAROL STREAM, IL 60188-2402
(630) 462-7957
(630) 462-9813
Mailing address
327 GUNDERSEN DR, SUITE C, CAROL STREAM, IL 60188-2402
(630) 462-7957
(630) 462-9813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036076308
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209398
GROUP PTAN
—
Enumeration date
10/19/2005
Last updated
12/15/2021
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