Individual
KIMBERLY CARBONARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 N HIGHLAND AVE, AURORA, IL 60506-3814
(630) 978-9754
(630) 978-2709
Mailing address
400 N HIGHLAND AVE, AURORA, IL 60506-3814
(630) 978-9754
(630) 978-2709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209003599
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209003599
LICENSE
IL
Enumeration date
02/09/2009
Last updated
02/09/2009
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