Individual
JENNIFER KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 TRINITY DR, LAKE IN THE HILLS, IL 60156-1668
(888) 308-3728
Mailing address
9111 TRINITY DR, LAKE IN THE HILLS, IL 60156-1668
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-209146
IL
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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