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NPI Code Detail

MEDICARE: MRS. NANGHEE KIM NURSE PRACTITIONER

MEDICARE:  MRS. NANGHEE  KIM  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerIL

General Provider Information

NPI Number : 1225062029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANGHEE KIM NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1S445 SUNNYBROOK RD
Second Line :
City : GLEN ELLYN
State : IL
Zip : 60137-6446
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5TH AVE AND ROOSEVELT
Second Line :
City : HINES
State : IL
Zip : 60141-5000
Country : US
Telephone Number : 708-202-2592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. NANGHEE KIM NURSE PRACTITIONER” Practice Location

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