Individual
KIMBERLY VANDER PLOEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 DEMPSTER ST, PICU, PARK RIDGE, IL 60068-1143
(847) 723-8316
(847) 723-1501
Mailing address
1775 DEMPSTER ST, PICU, PARK RIDGE, IL 60068-1143
(847) 723-8316
(847) 723-1501
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209004154
IL
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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