Individual
MRS. KATHLEEN MARIE KAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4440 W 95TH ST STE 6409, OAK LAWN, IL 60453-2600
(877) 684-4327
(708) 520-1875
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.013207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700254703
—
IL
Enumeration date
09/08/2015
Last updated
04/21/2025
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