Individual
ABRAHAM KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2124 W ROSCOE ST, CHICAGO, IL 60618-6220
(773) 899-4051
Mailing address
2124 W ROSCOE ST, CHICAGO, IL 60618-6220
(773) 899-4051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008327
IL
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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