Individual
KIMBERLY WESSENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
979 W MAIN ST, WEST DUNDEE, IL 60118-2088
(847) 426-9396
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016070
IL
Other
Enumeration date
10/15/2017
Last updated
05/16/2022
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