Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
3232 LAKE AVE, WILMETTE, IL 60091-1073
(847) 251-1413
Mailing address
200 WILMONT RD, DEERFIELD, IL 60015
(847) 940-2500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3777095
UNITED HEALTH CARE
IL
Enumeration date
01/17/2014
Last updated
01/17/2014
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