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Search › Illinois › 183500000X

Jacob Kim

NPI 1770877722 · on the registry since 2011

Practice

Address
2656 N Elston Ave
Chicago, IL 60647
Phone
(773) 252-2210
Fax
(773) 252-2210
Organisation at this address
Highland Park Cvs Llc
Adas Family Eyecare Inc
Luxottica Of America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-07

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