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1447505714
LOTUS KIM
CHICAGO, IL
NPI
1447505714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209013928)
Enumeration Date
2012-07-23
Last Update Date
2016-04-21
Business Address
-- LOTUS KIM NP
675 N SAINT CLAIR ST GALTER 20-100
CHICAGO, IL 60611-5975
Phone number: 312-695-7950
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Mailing Address
-- LOTUS KIM NP
680 N LAKE SHORE DR SUITE 1000
CHICAGO, IL 60611-4546
Phone number: 312-695-9797
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