Individual
MRS. KIMBERLY RAMIREZ-TASIGCHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2106 GRAND AVE, UNIT 2, WAUKEGAN, IL 60085-3416
(224) 381-7672
(844) 269-6781
Mailing address
5900 MAIN, MORTON GROVE, IL 60053
(847) 962-4050
(844) 269-6718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.009079
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992089742
—
IL
Enumeration date
09/28/2011
Last updated
12/07/2015
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