Individual
KIMBERLY DOLORES SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
800 BROADVIEW VILLAGE SQ, BROADVIEW, IL 60155-4887
(708) 731-5555
Mailing address
3530 ELMWOOD AVE, BERWYN, IL 60402-3840
(708) 369-6332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008560
IL
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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