Individual
APRIL D KUBINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FPA-APRN
Contact information
Practice address
1039 BROOKFOREST AVE, SHOREWOOD, IL 60404-8849
(815) 790-7253
Mailing address
1039 BROOKFOREST AVE, SHOREWOOD, IL 60404-8849
(815) 733-5952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277.000170
FULL PRACTICE AUTHORITY APRN
IL
01
—
377.000171
CONTROLLED SUBSTANCE LICENSE-FPA
IL
Enumeration date
08/05/2013
Last updated
11/27/2019
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