Mulligan, Kimberly Ann

Mulligan, Kimberly Ann is an individual health care provider with primary practice located at 2025 S Chicago St , Joliet IL 60436. 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. Mulligan, Kimberly Ann can be contacted via phone (815) 726-2200.

Contact Information

Primary practice address
2025 S Chicago St Joliet IL 60436
Phone: (815) 726-2200
Fax: (314) 536-8783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3711 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003958 Illinois

Profile Details

NPI number 1780872788
LBN Legal business name Mulligan, Kimberly Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Jun 18th, 2018 - about 7 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 1780872788 NPPES
Illinois Other 525200005 MEDICARE PTAN

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