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1992174403
JOHN H KIM
CHAMPAIGN, IL
NPI
1992174403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209013167)
Enumeration Date
2015-09-15
Last Update Date
2022-01-05
Business Address
JOHN H KIM NP
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-1237
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Mailing Address
JOHN H KIM NP
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1200
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