MICHELLE KANG

PEORIA, IL
NPI1972986651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125067159)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  125067159)
Enumeration Date2015-06-30
Last Update Date2015-06-30
Business Address
-- MICHELLE KANG
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-7257
Mailing Address
-- MICHELLE KANG
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: