Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 036127398 | IL |
NPI | 1003072877 |
---|---|
Provider Name | Dr. Yoojin Kim Pak |
First Address | Chicago, IL 60674-0018 |
Second Address | Lisle, IL 60532-1348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 26/02/2021 |