Individual
MS. JESSICA M. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
519 S ROSELLE RD, SCHAUMBURG, IL 60193-2925
(847) 618-1000
(847) 618-0134
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277000705
IL
363LF0000X
Family Nurse Practitioner
209015768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277000705
STATE LICENSE
IL
Enumeration date
12/06/2017
Last updated
04/09/2026
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