Individual
DR. EUN EE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 HEALTH CENTER DR STE 401, MATTOON, IL 61938-4648
(217) 258-4020
(217) 258-4023
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 258-2581
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036171704
IL
208600000X
Surgery Physician
20A18048
CA
Other
Enumeration date
06/25/2018
Last updated
01/09/2025
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