Individual
ANNIE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W GEORGE ST APT 2, CHICAGO, IL 60657-9284
(310) 483-8652
Mailing address
804 W GEORGE ST APT 2, CHICAGO, IL 60657-9284
(310) 483-8652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013660
IL
Other
Enumeration date
10/20/2018
Last updated
10/20/2018
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