Organization
KIMBALLS HEALTHCARE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE M KIMBALL N.P. (FAMILY NURSE PRACTITIONER)
(708) 369-2241
Entity
Organization
Contact information
Practice address
430 E 162ND ST, SOUTH HOLLAND, IL 60473-2258
(708) 369-2241
Mailing address
15933 ELLIS AVE, SOUTH HOLLAND, IL 60473-1740
(708) 369-2241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.011296
IL
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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