Individual
JOHN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
21925 W FIELD PKWY STE 215, DEER PARK, IL 60010-7278
(847) 438-4222
(847) 438-0844
Mailing address
355 WOOD CREEK RD APT 110, WHEELING, IL 60090-6722
(224) 766-6308
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016159
IL
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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