Provider Demographics
NPI:1275659229
Name:KIM, FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 N NARRAGANSETT AVE
Mailing Address - Street 2:SUITE B13
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-1081
Mailing Address - Country:US
Mailing Address - Phone:773-237-5265
Mailing Address - Fax:773-237-5385
Practice Address - Street 1:2620 N NARRAGANSETT AVE
Practice Address - Street 2:SUITE B13
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-1081
Practice Address - Country:US
Practice Address - Phone:773-237-5265
Practice Address - Fax:773-237-5385
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190271151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice