Individual
GLORIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4885 HOFFMAN BLVD, 400, HOFFMAN ESTATES, IL 60192-3726
(847) 255-9697
(847) 255-3206
Mailing address
4885 HOFFMAN BLVD, 400, HOFFMAN ESTATES, IL 60192-3726
(847) 255-9697
(847) 255-3206
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085004382
IL
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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