Most Relevant Information
Provider Data
| NPI Number: | 1003073354 |
| Provider Name: | STEPHEN KIM PHARMD, LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051296098 |
Most Important Dates
| Enumeration Date: | 05/22/2008 |
| Last Updated: | 01/15/2021 |
Provider Practice Location
5643 N LINCOLN AVE
CHICAGO
IL
606594921
Practice Location Phone/Fax
| Phone: | 7739919552 |
| Fax: |
Provider Mailing Location
5643 N LINCOLN AVE
CHICAGO
IL
606594921
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |