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Search › Illinois › 207L00000X

Jae Kim, M.D

NPI 1316981491 · on the registry since 2006 · sole proprietor

Practice

Address
210 W Walnut St
Canton, IL 61520
Phone
(309) 647-5240
Fax
(309) 647-5104
Organisation at this address
Jae Kim, M.D.
Graham Hospital Association
Graham Hospital Association
Graham Hospital Association
Graham Hospital Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
207L00000X
207L00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-04

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