Individual
VIRGINIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 W END CT, SUITE 175, VERNON HILLS, IL 60061-1365
(847) 367-4920
(847) 367-4943
Mailing address
830 W END CT, SUITE 175, VERNON HILLS, IL 60061-1365
(847) 367-4920
(847) 367-4943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029341
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002513
IL
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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