Healthcare Provider Details

I. General information

NPI: 1548189707
Provider Name (Legal Business Name): KIMBERLY STROMBACH BSN, RN, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 W MEDICAL CENTER DR
MCHENRY IL
60050-8409
US

IV. Provider business mailing address

5132 TALL OAKS DR
RINGWOOD IL
60072-9685
US

V. Phone/Fax

Practice location:
  • Phone: 815-814-1379
  • Fax:
Mailing address:
  • Phone: 815-814-1379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number041424233
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: