Healthcare Provider Details

I. General information

NPI: 1659037067
Provider Name (Legal Business Name): KIMBERLY JOY KUSS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY JOY SCHLINDER

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 BRANDING AVE STE 110
DOWNERS GROVE IL
60515-5624
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 262-693-4311
  • Fax: 414-203-3788
Mailing address:
  • Phone: 847-390-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11217
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11217-33
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209-035440
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: