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General NPI Number Information
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NPI Number | 1730567264
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Entity Type | Individual
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Provider Name | INYOUNG KIM MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2015
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 737 N MICHIGAN AVE STE 720
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City | CHICAGO
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State | IL
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Zip | 60611-6661
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Country | US
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Telephone | 312-319-1978
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Fax | 312-262-7791
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Provider Business Mailing Address
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Address Line | 920 N YORK RD STE 100
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City | HINSDALE
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State | IL
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Zip | 60521-3515
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Country | US
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Telephone | 312-319-1978
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Fax | 312-262-7791
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036168465
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 036168465
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 01088610A
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License Number State | IN
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