IndividualActive
John Kim, MDIV
NPI 1487422788 · Pastoral Counselor · Chicago, IL
Provider details
- NPI number
- 1487422788
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- MDIV
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
820 S Damen Ave
Chicago, IL 60612-3728
Phone: (312) 569-6328
Approximate (ZIP-level) locationGet directions
Mailing address
820 S Damen Ave
Chicago, IL 60612-3728
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.