Search › Illinois › 363LF0000X
Kimberly Predmore
NPI 1518251966 · on the registry since 2011
Practice
- Address
- 324 Roosevelt Rd
Glen Ellyn, IL 60137 - Phone
- (800) 323-8622
- Fax
- (224) 225-0368
- Organisation at this address
- Walgreen Co
Walgreen Co.
Gwa Optical LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 500 Howdershell Rd, Florissant, MO
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-20
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