Individual
DR. KI CASEY SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3447 W LAWRENCE AVE, CHICAGO, IL 60625-5116
(773) 478-9250
(773) 478-4363
Mailing address
3447 W LAWRENCE AVE, CHICAGO, IL 60625-5116
(773) 478-9250
(773) 478-4363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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