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General NPI Number Information
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NPI Number | 1861562563
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Entity Type | Organization
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Legal Business Name | KIM K. TEE, DPM, P. C.
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 10/06/2007
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Provider Practice Location Address
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Address Line | 601 W 31ST ST
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City | CHICAGO
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State | IL
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Zip | 60616-3022
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Country | US
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Telephone | 312-949-9999
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Fax | 312-949-9100
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Provider Business Mailing Address
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Address Line | 6983 FIELDSTONE DR
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City | BURR RIDGE
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State | IL
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Zip | 60527-5295
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Country | US
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Telephone | 312-949-9999
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Fax | 312-949-9100
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KIM K TEE
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Credential | D.P.M.
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Telephone | 312-949-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | IL
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