Individual
KIM TAVAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-DNP
Contact information
Practice address
25 NORTH WINFIELD ROAD, WINFIELD, IL 60190-1295
(630) 933-2113
(630) 933-4520
Mailing address
25 NORTH WINFIELD ROAD, WINFIELD, IL 60190-1295
(630) 933-2113
(630) 933-4520
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209014079
IL
Other
Enumeration date
04/25/2016
Last updated
06/20/2016
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