Individual
ANNA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34344 N US HIGHWAY 45, GRAYSLAKE, IL 60030-4031
(847) 543-5441
Mailing address
34344 N US HIGHWAY 45, GRAYSLAKE, IL 60030-4031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299006
IL
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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