NPI | 1578132411 |
---|---|
Doing Business As | RICHARD KIM |
Entity Type | Organization |
Authorized Contact | RICHARD KIM Clinical Director 224-938-9521 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2021-06-24 |
Last Update Date | 2021-06-29 |