| Dong S Kim Md Sc | |
|
9700 N Kenton Ave Ste K202 Skokie IL 60076 | |
| (847) 933-3555 | |
| (847) 933-3559 |
| Full Name | Dong S Kim Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9700 N Kenton Ave, Skokie, Illinois |
| Authorized Official Name and Position | Dong S Kim (PHYSICIAN) |
| Authorized Official Contact | 8479333555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dong S Kim Md Sc 489 Willow Rd Winnetka IL 60093-4140 Ph: (847) 933-3555 | Dong S Kim Md Sc 9700 N Kenton Ave Ste K202 Skokie IL 60076 Ph: (847) 933-3555 |
| NPI Number | 1932114451 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932114451 | NPI | - | NPPES |
| 01626554 | Other | IL | BS OF IL |
| 036101382 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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