Individual
GINA MARIE KIMMEY X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5000 S 5TH AVE, EDWARD HINES JR. HOSPITAL SICU, HINES, IL 60141-3030
(312) 405-3710
Mailing address
835 N WOOD ST, #301, CHICAGO, IL 60622-5022
(312) 226-8312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041322816
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209010153
IL
Other
Enumeration date
01/06/2013
Last updated
01/06/2013
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