Individual
JENNY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2701 PATRIOT BLVD, GLENVIEW, IL 60026
(312) 926-7337
Mailing address
2701 PATRIOT BLVD, GLENVIEW, IL 60026-8039
(312) 926-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-134533
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036134533
—
IL
Enumeration date
03/31/2011
Last updated
11/05/2019
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