Individual
DR. KIMBERLY ANN FENZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 413-0347
Mailing address
1510 W ROSCOE ST, 2E, CHICAGO, IL 60657-7016
(773) 592-6055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036131470
IL
Other
Enumeration date
04/06/2010
Last updated
02/28/2013
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