Organization
DONG S KIM MD SC
Active
Organization
DONG S KIM MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONG S KIM MD (PHYSICIAN)
(847) 933-3555
Entity
Organization
Contact information
Practice address
9700 N KENTON AVE, STE K202, SKOKIE, IL 60076
(847) 933-3555
(847) 933-3559
Mailing address
489 WILLOW RD, WINNETKA, IL 60093-4140
(847) 933-3555
(847) 933-3559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626554
BS OF IL
IL
05
—
036101382
—
IL
Enumeration date
07/31/2006
Last updated
08/17/2007
Update your record
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