Individual
AMANDA KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4416 BICKFORD AVE, OSWEGO, IL 60543-8158
(630) 696-6712
Mailing address
4416 BICKFORD AVE, OSWEGO, IL 60543-8158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209030610
IL
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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