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Jessica Stephanie Kim
Acute Care Nurse Practitioner in Chicago, Illinois
NPI 1225656432

Jessica Stephanie Kim is an Acute Care Nurse Practitioner based in Chicago, IL and is specialized in Acute Care. Jessica Stephanie Kim practices in Chicago, IL. The NPI Number for Jessica Stephanie Kim is 1225656432 and holds a License No. 041399309 (Illinois).

The current practice location address for Jessica Stephanie Kim is 5656 S Maryland Ave, Chicago, IL and can be reached out via phone at 773-702-1220. You can also correspond with Jessica Stephanie Kim through the mailing address at 6443 N NORTHWEST HWY # B, CHICAGO, IL - 60631-1470 (mailing address contact number: 248-219-3017).

Location: 5656 S Maryland Ave, Chicago, IL, 60631-1470
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Provider Profile Details
NPI Number
1225656432
Provider Name
Jessica Stephanie Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
5656 S Maryland Ave, Chicago, IL, 60631-1470
Phone Number
773-702-1220
Fax Number
Provider Enumeration Date
07/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.021840 01 IL DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
5656 S Maryland Ave
City
State
Zip
60637
Phone Number
773-702-1220
Fax Number
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Provider Business Mailing Address Details
Address
5656 S Maryland Ave
City
State
Zip
60637
Phone Number
773-702-1220
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
95236442 (California)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
041399309 (Illinois)
Definition
Definition to come...
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