Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 296-5590
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125084797
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2024
Last updated
06/24/2024
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