Individual
DR. KIMBERLY ANN INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W. TAYLOR, CHICAGO, IL 60612
(866) 600-2273
Mailing address
2310 S. CANAL ST, #402, CHICAGO, IL 60616-2183
(347) 610-2193
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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