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Organization
KIMBERLY MCRAE, INC.
Active
Organization
KIMBERLY MCRAE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY KAYE HINKS CCC-SLP (PRESIDENT/SPEECH-LANGUAGE PATHOLOGI)
(224) 522-5315
Entity
Organization
Contact information
Practice address
34135 N NEEDLEGRASS DR, ROUND LAKE, IL 60073-5210
(224) 522-5315
(847) 984-1160
Mailing address
34135 N NEEDLEGRASS DR, ROUND LAKE, IL 60073-5210
(224) 522-5315
(847) 984-1160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932537
BLUECROSS BLUESHIELD
IL
Enumeration date
04/28/2008
Last updated
12/01/2024
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