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Individual

CHRISTY KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1415 LAKE COOK RD, MS #L449, DEERFIELD, IL 60015-5213
(847) 964-6744
Mailing address
1415 LAKE COOK RD, MS #L449, DEERFIELD, IL 60015-5213

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51289267
IL

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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