Most Relevant Information
Provider Data
| NPI Number: | 1003198672 |
| Provider Name: | KYUNG MO KIM RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051.040727 |
Most Important Dates
| Enumeration Date: | 09/09/2011 |
| Last Updated: | 09/09/2011 |
Provider Practice Location
1445 W NORTH AVE
MELROSE PARK
IL
601601413
Practice Location Phone/Fax
| Phone: | 7083456080 |
| Fax: |
Provider Mailing Location
515 S CAROL LN
MOUNT PROSPECT
IL
600563505
Provider Mailing Phone/Fax
| Phone: | 8479975475 |
| Fax: |