Walter Kim M.D.

NPI 1497011852 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1497011852
Gender Male
Enumeration Date 04/10/2012
Last Updated 04/10/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1740 W TAYLOR ST
CHICAGO IL, 60612-7232, US
Phone (866) 600-2273
Fax
Business Location
1925 WEDGEWOOD DR
LAKE FOREST IL, 60045-3768, US
Phone (847) 204-3232
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Walter Kim M.D. NPI is 1497011852, taxonomy code is 390200000X Walter Kim M.D. physically located at 1740 W Taylor St, Chicago IL, 60612-7232. NPI Number Walter Kim M.D. has the Individual type.

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1497011852 NPI number is provided on an as is basis without warranty of any kind. 1497011852 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Kim M.D. are for informational purposes only.