Healthcare Provider Details

I. General information

NPI: 1497798656
Provider Name (Legal Business Name): KIM LUCILLE ARMOUR CNP, APN, RDMS, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 NORTH WINFIELD RD.
WINFIELD IL
60190
US

IV. Provider business mailing address

1402 CASTLEWOOD DR
WHEATON IL
60187-7510
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-6091
  • Fax:
Mailing address:
  • Phone: 630-933-2409
  • Fax: 630-933-2995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: