Individual
MR. JAY A KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2604 DEMPSTER ST, SUITE 300, PARK RIDGE, IL 60068-8412
(847) 296-1200
(847) 296-7913
Mailing address
2604 DEMPSTER ST, SUITE 300, PARK RIDGE, IL 60068-8412
(847) 296-1200
(847) 296-7913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051034220
IL
Other
Enumeration date
08/08/2009
Last updated
08/08/2009
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