| Doctor Name: | DR. JUN DONG KIM |
| NPI Number: | 1336411610 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 036136056 |
| Business Practice Address: | 625 S 5th St Watseka, IL - 609701835 |
| Business Phone Number: | 8154320740 |
| Business Fax Number: | 8154320742 |
| Mailing Address: | 524 E Martin Ave, WATSEKA |
| State: | IL |
| Postal Code: | 609701775 |
| Phone Number: | 7194061786 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2012 |
| NPI Last Update Date: | 01/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 036136056 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |