Iliana Kim, PT
Physical Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1528315744
StatusActive
Last updated in NPPESAug 7, 2012
Details
- NPI
- 1528315744
- Entity type
- Individual (NPI-1)
- Name
- Iliana Kim
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2012
- Last updated
- Aug 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070016033 | IL | Yes |
Other names
- Iliana Carrero (Former Name)
Practice location
7435 W Talcott AveChicago, IL 60631-3707
Phone 773-774-8000 · Fax 773-990-7788
Mailing address
7435 W Talcott AveChicago, IL 60631-3707
Phone 773-774-8000 · Fax 773-990-7788
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