Individual
KIMBERLY CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8308 LOCKWOOD AVE, BURBANK, IL 60459-2648
(773) 603-0606
Mailing address
8308 LOCKWOOD AVE, BURBANK, IL 60459-2648
(773) 603-0606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041360580
IL
363LF0000X
Family Nurse Practitioner
Primary
209020540
IL
Other
Enumeration date
11/25/2019
Last updated
11/28/2019
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