Individual
MS. KIM NIEZGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
9730 S WESTERN AVE, STE 100, EVERGREEN PARK, IL 60805-2814
(708) 425-1907
(708) 422-9816
Mailing address
9730 S WESTERN AVE, STE 100, EVERGREEN PARK, IL 60805-2814
(708) 425-1907
(708) 422-9816
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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