Organization
FAMILY DOCTORS OF ROUND LAKE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H KIM (PRESIDENT)
(847) 548-2528
Entity
Organization
Contact information
Practice address
1275 E BELVIDERE RD, SUITE 110, GRAYSLAKE, IL 60030-2082
(847) 548-2528
Mailing address
1275 E BELVIDERE RD, SUITE 110, GRAYSLAKE, IL 60030-2082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-056766
IL
Other
Enumeration date
05/17/2007
Last updated
06/11/2009
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