KIMBALLS HEALTHCARE CONSULTANTS NPI 1154875011

NPI Information

NPI: 1154875011
Provider Name: KIMBALLS HEALTHCARE CONSULTANTS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
430 E 162ND ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 369-2241
Get Directions

KIMBALLS HEALTHCARE CONSULTANTS is a family nurse practitioner in South Holland, IL. KIMBALLS HEALTHCARE CONSULTANTS NPI is 1154875011. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

430 E 162ND ST
SOUTH HOLLAND, IL
ZIP 60473-258
Phone: (708) 369-2241

The provider's authorized official is Jacqueline M Kimball .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (708) 369-2241.

The enumeration date for this NPI number is 8/9/2016 and was last updated on 8/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209.011296	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1447676002	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »