Ackert, Kimberly D

Ackert, Kimberly D is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ackert, Kimberly D can be contacted via phone (815) 759-3100.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050-8409
Phone: (815) 759-3100
Fax: (815) 363-9094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001443 Illinois

Profile Details

NPI number 1538172739
LBN Legal business name Ackert, Kimberly D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538172739 NPPES
Illinois Other 085001443 STATE LICENSE

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