Individual
HYUNSOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S DAMEN AVE UNIT M, CHICAGO, IL 60612-3727
(312) 996-7800
Mailing address
845 S DAMEN AVE UNIT M, CHICAGO, IL 60612-3727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041456516
IL
363L00000X
Nurse Practitioner
Primary
209025862
IL
Other
Enumeration date
07/09/2020
Last updated
11/29/2022
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