Individual provider · Type 1 NPI

Eun Ha Kim, NP

Nurse Practitioner · Maywood, IL

NPI number 1164540480 Active

Practice location

2160 S. First Ave., Room 1862A
Maywood, IL 60153

Fax (708) 216-6961

Mailing address

2160 S 1st Ave
Maywood, IL 60153-3328

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209-002887 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164540480

Eun Ha Kim, NP's National Provider Identifier is 1164540480, issued on Mar 26, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Maywood, IL. The record was last updated on Apr 23, 2021.