Individual
DR. TARA ASHLEY KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1133 N DEARBORN ST APT 3002, CHICAGO, IL 60610-2792
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
036149917
IL
2084A2900X
Neurocritical Care Physician
95884
SC
2084A2900X
Neurocritical Care Physician
C1-0029186
DE
2084N0400X
Neurology Physician
C1-0029186
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2015
Last updated
03/11/2026
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