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Organization

DEFINED KJ INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIMMY NINH MD (PRESIDENT)
(414) 202-3249
Entity
Organization

Contact information

Practice address
935 LAKEVIEW PKWY, UNIT 101, SUITE #9, VERNON HILLS, IL 60061
(414) 202-3249
Mailing address
288 MARSEILLES ST, VERNON HILLS, IL 60061-4148

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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