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NPI 1588658447

NPI 1588658447 : KIMBERLY M BATTLE-MILLER M.D. : DOWNERS GROVE, IL

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General NPI Number Information
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    NPI Number           |    1588658447
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    Entity Type          |    Individual 
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    Provider Name        |    KIMBERLY M BATTLE-MILLER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/07/2005
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    Last Update Date     |    05/19/2022
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Provider Practice Location Address
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    Address Line         |    3825 HIGHLAND AVE STE 5B 
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    City                 |    DOWNERS GROVE
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    State                |    IL
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    Zip                  |    60515-1551
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    Country              |    US
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    Telephone            |    630-963-9963
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    Fax                  |    630-963-9667
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Provider Business Mailing Address
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    Address Line         |    29373 NETWORK PL 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60673-1293
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    Country              |    US
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    Telephone            |    847-390-5900
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    036089483
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    2080H0002X
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    Taxonomy Name        |    Pediatric Hospice and Palliative Medicine Physician
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    License Number       |    036089483
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    License Number State |    IL
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