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Individual

KIMBERLY GINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 312-6677
Mailing address
PO BOX 7009, BOLINGBROOK, IL 60440-7009
(630) 312-6677

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209001855
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
399980
GROUP MEDICARE PTAN
Enumeration date
08/31/2006
Last updated
10/25/2024
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