Individual
THAIS KIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 WIESBROCK LN, BATAVIA, IL 60510-9004
(312) 590-0415
Mailing address
1705 WIESBROCK LN, BATAVIA, IL 60510-9004
(312) 590-0415
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041438493
IL
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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