Individual
DASOL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1370 E WASHINGTON ST APT 2SW, DES PLAINES, IL 60016-7111
(847) 873-4630
Mailing address
1370 E WASHINGTON ST APT 2SW, DES PLAINES, IL 60016-7111
(847) 873-4630
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86119050
IL
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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