Jisoo Kim

NPI #1144924259 in Berwyn, Illinois

Provider Information

NPI Number: 1144924259
Entity Type: Individual
Name: Jisoo Kim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Mar 30, 2023
Last Updated: Jun 2, 2023

Practice Location

Address: 3249 OAK PARK AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-3429
Phone: (877) 834-7264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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