Individual
JESSICA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1400 W LINCOLN ST, MOUNT PROSPECT, IL 60056-2927
(312) 767-8202
Mailing address
1400 W LINCOLN ST, MOUNT PROSPECT, IL 60056-2927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102902
IL
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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