DUSTIN KIM

CHICAGO, IL
NPI1609512425
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: IL  125086325)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-05-05
Last Update Date2025-07-22
Business Address
DUSTIN KIM
600 S PAULINA ST STE 403
CHICAGO, IL 60612-3806
Phone number: 312-942-7100
Mailing Address
DUSTIN KIM
600 S PAULINA ST STE 403
CHICAGO, IL 60612-3806
Phone number: