Kinberg, Nicole Brooke

Kinberg, Nicole Brooke is an individual health care provider with primary practice located at 3880 Salem Lake Dr # F , Long Grove IL 60047-5292. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kinberg, Nicole Brooke can be contacted via phone (847) 719-2220.

Contact Information

Primary practice address
3880 Salem Lake Dr # F Long Grove IL 60047-5292
Phone: (847) 719-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209025475 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209025475 Illinois

Profile Details

NPI number 1063146223
LBN Legal business name Kinberg, Nicole Brooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2022
Last updated Mar 7th, 2023 - about last year

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 1063146223 NPPES
Illinois MEDICAID 209025475

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