SANDRA LEE KIM

CHICAGO, IL
NPI1912078528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  51291282)
Additional Taxonomies183500000X Pharmacist
(Licence: MI  5302033788)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
-- SANDRA LEE KIM
833 S WOOD ST ROOM 164
CHICAGO, IL 60612-7229
Phone number: 312-996-6644
Mailing Address
-- SANDRA LEE KIM
533 W BARRY AVE APT 12B
CHICAGO, IL 60657-5474
Phone number: 734-945-8154