Individual
KIMBERLY A MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7800 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1007
(708) 361-2400
(708) 361-1592
Mailing address
7800 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1007
(708) 361-2400
(708) 361-1592
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036077744
IL
208M00000X
Hospitalist Physician
036077744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077744
—
IL
Enumeration date
05/17/2006
Last updated
12/22/2021
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