Individual
ISABELLA GRACE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 W NORTH AVE STE 402, CHICAGO, IL 60622-0204
(312) 819-7381
Mailing address
1201 S PRAIRIE AVE APT 1601, CHICAGO, IL 60605-3423
(224) 213-8677
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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