Whalio Doctors

NPI 1023286556

Kwang Soo Steve Kim, DDS

Practitioner General Practice Dentistry Glenview, IL

Practice location

Address
2640 Patriot Blvd Suite #270, Glenview, IL 60026-8075
Phone
(847) 901-6553
Fax
(847) 901-6588
Mailing address
2640 Patriot Blvd Suite #270, Glenview, IL 60026

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence IL-019-023098 (IL)

Registry record

NPI
1023286556
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Feb 2008
Record last updated
22 May 2008

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.