Doctor Name: | ALLISON KINDER |
NPI Number: | 1043655210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | 209010385 |
Business Practice Address: | 6969 N Lincoln Ave Lincolnwood, IL - 607122527 |
Business Phone Number: | 8476741200 |
Business Fax Number: | |
Mailing Address: | 2609 W Belmont Ave, 404e CHICAGO |
State: | IL |
Postal Code: | 606185933 |
Phone Number: | 6305677707 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2013 |
NPI Last Update Date: | 07/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 209010385 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |