| NPI | 1497701254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG M KIM Doctor 708-344-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036048553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036113598) |
| 111N00000X Chiropractor (Licence: IL 038010479) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-03-21 |