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Jessica Kim
NPI 1760354765 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1400 W Lincoln St
Mount Prospect, IL 60056 - Phone
- (312) 767-8202
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-19
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