Individual
AI MARY HOSHINO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
241 VALLEY VIEW DR, WILMETTE, IL 60091-3044
(847) 636-6470
Mailing address
241 VALLEY VIEW DR, WILMETTE, IL 60091-3044
(847) 636-6470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010119
IL
235Z00000X
Speech-Language Pathologist
15584
CA
Other
Enumeration date
09/27/2012
Last updated
11/04/2013
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