Individual
KYONGHUI ANGELA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3908 RFD, LONG GROVE, IL 60047
(312) 450-4157
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.305181
IL
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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