Individual
KERI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 S WOOD ST RM 164, CHICAGO, IL 60612-7229
(312) 996-0898
Mailing address
833 S WOOD ST RM 164, CHICAGO, IL 60612-7229
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
51289504
IL
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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