Most Relevant Information
Provider Data
| NPI Number: | 1003684325 |
| Provider Name: | EUGENE KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 150.112292 |
Most Important Dates
| Enumeration Date: | 12/15/2023 |
| Last Updated: | 12/15/2023 |
Provider Practice Location
53 W JACKSON BLVD STE 1615
CHICAGO
IL
606043722
Practice Location Phone/Fax
| Phone: | 3128981840 |
| Fax: |
Provider Mailing Location
53 W JACKSON BLVD STE 1615
CHICAGO
IL
606043722
Provider Mailing Phone/Fax
| Phone: | 3128981840 |
| Fax: |