Search › Illinois › 363LA2200X
Kim Mank, ACNP
NPI 1639406879 · on the registry since 2009
Practice
- Address
- 4600 Memorial Dr Ste 200
Belleville, IL 62226 - Phone
- (618) 233-2220
- Organisation at this address
- Msa Alliance
Msa Alliance
Ca Group Llc
Ca Group, Llc
Wael Girgis IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 72
Additional practice sites
- 12860 Troxler Ave, Highland, IL
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363L00000X
363LA2100X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-21
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