Mitchell, Kimberly J.

Mitchell, Kimberly J. is an individual health care provider with primary practice located at 1900 Silver Cross Blvd , New Lenox IL 60451-9509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Mitchell, Kimberly J. can be contacted via phone (815) 740-7050.

Contact Information

Primary practice address
1900 Silver Cross Blvd New Lenox IL 60451-9509
Phone: (815) 740-7050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0101840517 Virginia
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036117711 Illinois

Profile Details

NPI number 1568425890
LBN Legal business name Mitchell, Kimberly J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Aug 14th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568425890 NPPES
Illinois MEDICAID 036117711

Popular Providers