Individual
MYOUNG DUCK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5428
(708) 684-2079
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621490
BCBS PROVIDER ID
IL
01
—
1619540
BCBS PROVIDER ID
IL
01
—
36354817309
ADVOCATE HEALTH PARTNERS
IL
01
—
47625
ADVOCATE HEALTH CENTERS
IL
Enumeration date
12/12/2006
Last updated
02/25/2008
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