Individual
DANIEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2100 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 569-8387
Mailing address
2100 W HARRISON ST, CHICAGO, IL 60612-3706
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0004508
CO
Other
Enumeration date
06/03/2009
Last updated
08/28/2023
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