John Kim

Dentist · Loves Park, IL

Individual Active NPI

NPI number 1316111248

Practice location

438 Theodore St
Loves Park, IL 61111-4056
Phone
(815) 633-7933

Open in Google Maps

NPI record

NPI
1316111248
Entity type
Individual (Type 1)
Enumeration date
April 22, 2008
Last updated
April 22, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

Mailing address

438 Theodore St
Loves Park, IL 61111

About John Kim

John Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 438 Theodore St, Loves Park, IL 61111-4056. The NPI number 1316111248 was assigned on April 22, 2008 and the record was last updated on April 22, 2008.

Frequently asked questions

What is the NPI number of John Kim?

The NPI number is 1316111248.

What is the phone number of John Kim?

The phone number listed for the practice location is (815) 633-7933.

Where is John Kim located?

438 Theodore St, Loves Park, IL 61111-4056.

What is the taxonomy code for John Kim?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Loves Park

All Dentist providers in Loves Park, IL →