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Individual

KIMBERLY HOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(630) 800-9983
Mailing address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(630) 800-9983

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016852
IL

Other

Enumeration date
12/19/2017
Last updated
04/22/2022
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