Individual
KIMBERLY CEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 ASHLAND AVE, RIVER FOREST, IL 60305-2105
(708) 890-8877
(708) 488-8680
Mailing address
113 ASHLAND AVE, RIVER FOREST, IL 60305-2105
(708) 890-8877
(708) 488-8680
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
3001517
IL
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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