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Individual

AIMEE FONDELL KLINEFELTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7047 NORTH AVE, OAK PARK, IL 60302-1015
(773) 303-7505
Mailing address
4421 N LAWNDALE AVE APT 2B, CHICAGO, IL 60625-5996
(631) 903-5131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007396
IL

Other

Enumeration date
03/10/2020
Last updated
03/10/2020
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