Individual
KIMBERLY PREDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 ROOSEVELT RD, GLEN ELLYN, IL 60137-5647
(800) 323-8622
(224) 225-0368
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2011008782
MO
363LF0000X
Family Nurse Practitioner
Primary
209-008889
IL
Other
Enumeration date
06/02/2011
Last updated
02/20/2023
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