Provider Demographics
NPI:1871745174
Name:KIM, HYUN HELEN (ETC)
Entity type:Individual
Prefix:MS
First Name:HYUN
Middle Name:HELEN
Last Name:KIM
Suffix:
Gender:F
Credentials:ETC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 CENTRAL RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-4261
Mailing Address - Country:US
Mailing Address - Phone:847-971-5128
Mailing Address - Fax:
Practice Address - Street 1:6600 N LINCOLN AVE
Practice Address - Street 2:SUITE 316
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3620
Practice Address - Country:US
Practice Address - Phone:847-971-5128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198000739171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist