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Kimberly Souder, FNP
Family Nurse Practitioner in Oak Lawn, Illinois
NPI 1811222318

Kimberly Souder is a Family Nurse Practitioner based in New Lenox, IL and is specialized in Family. Kimberly Souder practices in Oak Lawn, IL and has the professional credentials of FNP. The NPI Number for Kimberly Souder is 1811222318 and holds a License No. 209.007767 (Illinois).

The current practice location address for Kimberly Souder is 4440 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-684-1363.

Location: 4440 W 95Th St, Oak Lawn, IL, 60451-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811222318
Provider Name
Kimberly Souder
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4440 W 95Th St, Oak Lawn, IL, 60451-1651
Phone Number
708-684-1363
Fax Number
Provider Enumeration Date
10/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4440 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2600
Phone Number
708-684-1363
Fax Number
person
Provider Business Mailing Address Details
Address
4440 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2600
Phone Number
708-684-1363
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.007767 (Illinois)
Definition
Definition to come...
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