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Dale Kim
NPI 1538570304 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3114 Village Office Pl
Champaign, IL 61822 - Phone
- (217) 378-4807
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-15
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