SearchIllinois222Q00000X

Kimberly Burgess, DT/H

NPI 1013103506 · on the registry since 2007 · sole proprietor

Practice

Address
6440 N Allen Rd
Unit 55
Peoria, IL 61614
Phone
(309) 838-5440

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois