SearchIllinois208000000X

Jeong-A Kim

NPI 1457891202 · on the registry since 2017

Practice

Address
5841 S Maryland Ave # Mc1052
Chicago, IL 60637
Phone
(773) 702-1000
Clinicians at this address
58

Additional practice sites

  • 3901 Beaubien St, Detroit, MI
  • 5721 S Maryland Ave, Chicago, IL

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois