Individual
KIMBERLY LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5801 S ELLIS AVE, CHICAGO, IL 60637-5418
(773) 702-1000
Mailing address
2422 W LYNDALE ST APT 1W, CHICAGO, IL 60647-3361
(708) 712-3243
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
209016242
IL
363L00000X
Nurse Practitioner
Primary
209016242
IL
Other
Enumeration date
08/07/2017
Last updated
07/27/2020
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