Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AGNES KIM, RD
ActivePediatric Critical Care Nutrition · CHICAGO, IL
Registration Details
- NPI Number
- 1629682232
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2020 (5.6387138754136 yrs)
- Last Updated
- Sep 1, 2020
- License
-
164005768 (IL)
Practice Information
- Address
-
225 E CHICAGO AVECHICAGO, IL, 606112991Browse IL providers · Browse ZIP 60611
- Phone
- 3122274149
- Primary Specialty
-
Pediatric Critical Care Nutrition
133VN1401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.