Individual
KIMBERLY E THORMANN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CPNP
Contact information
Practice address
225 E CHICAGO AVE # 30, CHICAGO, IL 60611-2991
(312) 227-3582
(312) 227-4868
Mailing address
225 E CHICAGO AVE # 30, CHICAGO, IL 60611-2991
(312) 227-3582
(312) 227-4868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209001442
IL
Other
Enumeration date
05/04/2006
Last updated
11/14/2019
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