Kimberly Hough
Nurse Practitioner, Family in Hazel Crest, IL. Individual provider (NPI-1).
NPI number1780190280
StatusActive
Last updated in NPPESApr 22, 2022
Details
- NPI
- 1780190280
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Hough
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2017
- Certification date
- Apr 22, 2022
- Last updated
- Apr 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209016852 | IL | Yes |
Practice location
17800 Kedzie AveHazel Crest, IL 60429-2029
Phone 630-800-9983
Mailing address
17800 Kedzie AveHazel Crest, IL 60429-2029
Phone 630-800-9983
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All 17 Family Nurse Practitioner providers in Hazel Crest · All 554 providers in Hazel Crest
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