NPI 1104883768

Chang Kwon Kim, MDFACS

Practitioner Surgery Physician Geneva, IL

Practice location

Address: 0n300 Armstrong Ln, Geneva, IL 60134-6081
Phone: (630) 208-1700
Mailing address: PO Box 546, St Charles, IL 60174-0546

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036060318 (IL)

Other Surgery providers in Illinois →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 036060318 (IL)

Registry record

NPI: 1104883768
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2006
Record last updated: 12 Feb 2013

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.