Individual
ILIANA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 774-8000
(773) 990-7788
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 774-8000
(773) 990-7788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016033
IL
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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