Individual
GRACE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 W HARRISON ST STE 106B, CHICAGO, IL 60612-4861
(312) 563-0830
Mailing address
450 WARRENVILLE RD APT 330, LISLE, IL 60532-1572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.497322
IL
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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