NPI 1356608665

Taek Y. Kim, M.D., S.C.

Organisation Specialist Downers Grove, IL

Practice location

Address: 6800 Main St Suite 215, Downers Grove, IL 60516-3493
Phone: (630) 971-0335
Fax: (630) 971-0364

Authorised official

Name: Taek Y. Kim
Title: Owner
Phone: (630) 971-0335

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 036046678 (IL)

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Registry record

NPI: 1356608665
Entity type: Organization
NPI issued: 12 Apr 2012
Record last updated: 12 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.