Vander Ploeg, Kimberly

Vander Ploeg, Kimberly is an sole proprietor health care provider with primary practice located at 1775 Dempster St Picu, Park Ridge IL 60068-1143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Vander Ploeg, Kimberly can be contacted via phone (847) 723-8316.

Contact Information

Primary practice address
1775 Dempster St Picu Park Ridge IL 60068-1143
Phone: (847) 723-8316
Fax: (847) 723-1501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 209004154 Illinois

Profile Details

NPI number 1326460452
LBN Legal business name Vander Ploeg, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2014
Last updated Jan 8th, 2014 - about 10 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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