Individual
MRS. SOO JIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(847) 477-0899
Mailing address
1820 N ANDOA LN, MOUNT PROSPECT, IL 60056-1629
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209007605
IL
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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