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General NPI Number Information
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NPI Number | 1922668326
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Entity Type | Individual
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Provider Name | WONHYO KIM PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1135 MILWAUKEE AVE
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City | RIVERWOODS
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State | IL
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Zip | 60015-3512
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Country | US
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Telephone | 847-594-1613
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Fax | 847-594-1613
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Provider Business Mailing Address
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Address Line | 3400 N OLD ARLINGTON HEIGHTS RD UNIT 202
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1558
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Country | US
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Telephone | 347-608-2428
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Fax | 847-594-1613
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070.027309
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 040268
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License Number State | NY
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