Individual
MS. KIMBERLY ANN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3249 SOUTH OAK PARK AVENUE, BERWYN, IL 60402
(708) 783-9100
(708) 783-2188
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209012420
IL
Other
Enumeration date
02/06/2015
Last updated
07/18/2015
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