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1861992190
DONGLIM KOH
CHICAGO, IL
NPI
1861992190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
DONGLIM KOH
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640-4995
Phone number: 773-293-8472
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Mailing Address
DONGLIM KOH
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640-4995
Phone number: 773-293-8472
Copy
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