Individual
DANIEL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041470973
IL
363L00000X
Nurse Practitioner
Primary
209029162
IL
Other
Enumeration date
11/20/2023
Last updated
07/31/2024
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