MRS. KIMBERLY DUBACK APN NPI 1992196380

NPI Information

NPI: 1992196380
Provider Name: MRS. KIMBERLY DUBACK, APN
Classification: Clinical Nurse Specialist - 364SP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4440 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-4207
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MRS. Kimberly Duback, APN is a pediatrics clinical nurse specialist in Oak Lawn, IL. MRS. Kimberly Duback, APN NPI is 1992196380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4440 W 95TH ST
OAK LAWN, IL
ZIP 60453-600
Phone: (708) 684-4207

The enumeration date for this NPI number is 2/6/2015 and was last updated on 2/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0200X	Clinical Nurse Specialist	Pediatrics	209012326	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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