DR. Jason Yungsup Kim, MD

NPI #1346435112 in Great Lakes, Illinois

Provider Information

NPI Number: 1346435112
Entity Type: Individual
Name: DR. Jason Yungsup Kim, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 13, 2007
Last Updated: Jul 26, 2010

Practice Location

Address: 3420 ILLINOIS ST
Address 2: USS TRANQUILLITY CLINIC 1007
City: Great Lakes
State: Illinois
ZIP Code: 60088-3161
Phone: (847) 688-6755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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