Bloomcamp, Kimberly

Bloomcamp, Kimberly is an individual health care provider with primary practice located at 757 Park Ave W , Highland Park IL 60035-2556. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bloomcamp, Kimberly can be contacted via phone (847) 941-7600.

Contact Information

Primary practice address
757 Park Ave W Highland Park IL 60035-2556
Phone: (847) 941-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209006104 Illinois

Profile Details

NPI number 1154547875
LBN Legal business name Bloomcamp, Kimberly
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 22nd, 2021 - about 3 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 1154547875 NPPES
Illinois Other 041315130 RN STATE LICENSE
Illinois Other 209006104 RN STATE LICENSE
Illinois MEDICAID 041315130 RN STATE LICENSE
Illinois Other 406120022 RN STATE LICENSE

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