Individual
KIMBERLY RENEE CLAYBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, D.N.
Contact information
Practice address
7301 N WOLCOTT AVE, UNIT 1, CHICAGO, IL 60626-5524
(312) 286-5134
Mailing address
7301 N WOLCOTT AVE, UNIT 1, CHICAGO, IL 60626-5524
(312) 286-5134
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
—
IL
1835P1200X
Pharmacotherapy Pharmacist
—
IL
Other
Enumeration date
03/10/2007
Last updated
09/11/2025
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