Individual
JENNIFER SHIN HAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2050 PFINGSTEN RD STE 320, GLENVIEW, IL 60026
(847) 998-4170
(847) 998-4165
Mailing address
2050 PFINGSTEN RD STE 320, GLENVIEW, IL 60026-1324
(847) 998-4170
(847) 998-4165
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
036103662
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103662
—
IL
Enumeration date
04/11/2006
Last updated
08/09/2018
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