| Doctor Name: | DR. MICHELLE M KIM |
| NPI Number: | 1356458673 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 016-005207 |
| Business Practice Address: | 14236 Mccarthy Road Lemont, IL - 60439 |
| Business Phone Number: | 6308637517 |
| Business Fax Number: | 6308637519 |
| Mailing Address: | 14236 Mccarthy Road, LEMONT |
| State: | IL |
| Postal Code: | 60439 |
| Phone Number: | 6308637517 |
| Fax Number: | 6308637519 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 02/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 016-005207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |