| NPI | 1811137243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PU WOONG KIM Direct Of Pu Woog Kim,Md,.Sc 773-561-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-047684) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |