Individual
GINA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1S280 SUMMIT AVE, COURT A1, OAKBROOK TERRACE, IL 60181-6018
(630) 889-9889
Mailing address
1 S 280 SUMMIT AVE, STE A1, OAKBROOK TERRACE, IL 60181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12190304
IL
Other
Enumeration date
01/16/2020
Last updated
08/31/2020
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