Individual
WENDY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
1600 S PRAIRIE AVE, 2108, CHICAGO, IL 60616-1360
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036130097
IL
Other
Enumeration date
11/23/2008
Last updated
03/12/2015
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