Individual
KIMBERLY R BELL IJIMAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3561 S KING DR, CHICAGO, IL 60653-1136
(312) 479-7744
Mailing address
3561 S KING DR, CHICAGO, IL 60653-1136
(312) 479-7744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036108611
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036108611
ILLINOIS LICENSE
IL
Enumeration date
07/25/2008
Last updated
07/25/2008
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