| NPI | 1215385075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUNG SOO KIM Doctor 630-912-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: IL 038012005) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |