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1407434103
MIN WOO KIM
CHICAGO, IL
NPI
1407434103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL 019-033248)
Enumeration Date
2021-04-01
Last Update Date
2021-06-22
Business Address
MIN WOO KIM
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
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Mailing Address
MIN WOO KIM
801 S PAULINA ST RM 119D
CHICAGO, IL 60612-7210
Phone number: 312-996-1052
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