Search › Illinois › 122300000X
John Kim
NPI 1316111248 · on the registry since 2008 · sole proprietor
Practice
- Address
- 438 Theodore St
Loves Park, IL 61111 - Phone
- (815) 633-7933
- Organisation at this address
- John V Kim Dds Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois