Individual
DR. KIMBERLY J MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 W OGDEN AVE, WESTMONT, IL 60559-1419
(630) 967-2225
(630) 428-3971
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036110532
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110532
—
IL
Enumeration date
01/12/2011
Last updated
08/16/2023
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