Individual
SIERRA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1121 WARREN AVE STE 210, DOWNERS GROVE, IL 60515-3572
(630) 442-0169
Mailing address
461 W VERRET ST, ELMHURST, IL 60126-4936
(512) 888-8075
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
164.009732
IL
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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