Provider Demographics
NPI:1487854048
Name:KIM, HANNAH EUNHEE (DC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:EUNHEE
Last Name:KIM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 VALLEY LAKE DR
Mailing Address - Street 2:#424
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3651
Mailing Address - Country:US
Mailing Address - Phone:244-578-1864
Mailing Address - Fax:
Practice Address - Street 1:321 W PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3152
Practice Address - Country:US
Practice Address - Phone:847-253-7600
Practice Address - Fax:847-253-7610
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor