| NPI | 1609099076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUK CHIN KIM Medical Doctor 618-233-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36050757) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |