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1811754898
DEREK KIM
GLENVIEW, IL
NPI
1811754898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-010554)
Enumeration Date
2024-03-05
Last Update Date
2024-08-02
Business Address
DEREK KIM PA-C
2401 RAVINE WAY
GLENVIEW, IL 60025-7645
Phone number: 847-998-5680
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Mailing Address
DEREK KIM PA-C
900 RAND RD STE 300
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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