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Organization

KAREFIRST KENTUCKY PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY R WILSON RN, MSN, APN (PRESIDENT)
(847) 235-6127
Entity
Organization

Contact information

Practice address
6348 N MILWAUKEE AVE STE 390, CHICAGO, IL 60646-3728
(847) 235-6130
(847) 235-6135
Mailing address
6348 N MILWAUKEE AVE STE 390, CHICAGO, IL 60646-3728
(847) 235-6130
(847) 235-6135

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
07/18/2025
Last updated
07/18/2025
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