Individual
DR. KIMBERLY LYNN MORSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 N MILWAUKEE AVE, SUITE D, LAKE VILLA, IL 60046-8563
(847) 356-6634
(847) 356-7264
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.122375
IL
390200000X
Student in an Organized Health Care Education/Training Program
125051462
IL
Other
Enumeration date
05/31/2007
Last updated
02/23/2012
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