Individual
MS. KIMBERLY ANNE GUBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN ,CPNP, IBCLC
Contact information
Practice address
2940 ROLLINGRIDGE RD STE 300, NAPERVILLE, IL 60564-4235
(630) 646-5800
(630) 646-5858
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008549
IL
363LP0200X
Pediatric Nurse Practitioner
209008549
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209008549
—
IL
Enumeration date
01/05/2011
Last updated
07/11/2023
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