Individual
KIMBERLY CAROL IMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
503 S ILLINOIS ROUTE 59, AURORA, IL 60504-8168
(331) 200-5525
Mailing address
2956 SAVANNAH DR, AURORA, IL 60502-8678
(708) 267-7172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277.003266
IL
Other
Enumeration date
09/24/2021
Last updated
12/20/2024
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