Individual
MRS. KIMBERLY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 N. KINGSBURY ST, SUITE 130N, CHGO, IL 60610
(312) 775-1100
(312) 775-1112
Mailing address
900 N. KINGSBURY ST, SUITE 130N, CHGO, IL 60610
(312) 775-1100
(312) 775-1112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-101114
IL
174400000X
Specialist
Primary
036101114
IL
Other
Enumeration date
09/06/2006
Last updated
12/05/2008
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