MEDICARE: DR. FRANCIS KIM DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019027115	IL

General Provider Information

NPI Number	:	1275659229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS KIM DDS

Provider Business Mailing Address
First Line	:	2620 N NARRAGANSETT AVE
Second Line	:	SUITE B13
City	:	CHICAGO
State	:	IL
Zip	:	60639-1081
Country	:	US
Telephone Number	:	773-237-5265
Fax Number	:	773-237-5385

Provider Business Practice Location Address
First Line	:	2620 N NARRAGANSETT AVE
Second Line	:	SUITE B13
City	:	CHICAGO
State	:	IL
Zip	:	60639-1081
Country	:	US
Telephone Number	:	773-237-5265
Fax Number	:	773-237-5385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	04/07/2016

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