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General NPI Number Information
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NPI Number | 1194958587
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Entity Type | Individual
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Provider Name | YOUNG SUN KIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/07/2009
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Provider Practice Location Address
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Address Line | 37W755 IL ROUTE 38 SUITE A
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City | SAINT CHARLES
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State | IL
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Zip | 60175-7507
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Country | US
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Telephone | 630-208-2098
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Fax | 630-513-1473
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Provider Business Mailing Address
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Address Line | 5634 S THURLOW ST
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City | HINSDALE
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State | IL
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Zip | 60521-5128
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Country | US
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Telephone | 708-269-2949
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Fax | 630-590-5105
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036105165
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 036105165
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License Number State | IL
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