Individual
KIMBERLY ANN CHALLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 W EXCHANGE ST, SYCAMORE, IL 60178-1495
(815) 895-9227
Mailing address
112 CAROLEE LN, MORRISON, IL 61270-2949
(815) 772-6149
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
TYPE 10
IL
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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