Search › Illinois › 347C00000X
Kim Whiteside
NPI 1386196780 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2204 Gabriel Ave
Zion, IL 60099 - Phone
- (847) 815-3316
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-01
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