Individual
MRS. KIMBERLY DUBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4207
Mailing address
766 LAMBETH LN, NEW LENOX, IL 60451-9639
(708) 846-7183
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209012326
IL
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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