Individual
AUDREY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 S HIGHLAND AVE STE 200D, LOMBARD, IL 60148-6174
(708) 566-6516
Mailing address
1046 HAPP RD, NORTHFIELD, IL 60093-1009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.017278
IL
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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