Van Wyngarden, Kimberly

Van Wyngarden, Kimberly is an individual health care provider with primary practice located at 17495 La Grange Rd , Tinley Park IL 60487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Van Wyngarden, Kimberly can be contacted via phone (708) 226-7000.

Contact Information

Primary practice address
17495 La Grange Rd Tinley Park IL 60487
Phone: (708) 226-7000
Fax: (708) 226-7174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209011021 Illinois

Profile Details

NPI number 1497186472
LBN Legal business name Van Wyngarden, Kimberly
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2013
Last updated Jun 6th, 2018 - about 6 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 1497186472 NPPES
Illinois Other F300116195 LOCALITY 16
Illinois Other F300116196 LOCALITY 16
Illinois Other P01451822 LOCALITY 16

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