Jae Kim, M.d.

NPI #1710928627 in Canton, Illinois

Provider Information

NPI Number: 1710928627
Entity Type: Organization
Organization Name: Jae Kim, M.d.
Primary Specialty: Anesthesiology
Enumeration Date: Jun 10, 2006
Last Updated: May 1, 2015

Practice Location

Address: 210 W WALNUT ST
City: Canton
State: Illinois
ZIP Code: 61520-2444
Phone: (309) 647-5240

Authorized Official

Name: JAE K KIM, M.D.
Title: OWNER
Phone: (309) 671-8749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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