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General NPI Number Information
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NPI Number | 1669489712
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Entity Type | Organization
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Legal Business Name | KIMBERLY BATTLE-MILLER, MD, SC
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15774 S LA GRANGE RD #229
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City | ORLAND PARK
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State | IL
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Zip | 60462-4766
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Country | US
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Telephone | 773-767-3822
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Fax | 773-767-3944
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Provider Business Mailing Address
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Address Line | 15774 S LA GRANGE RD #229
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City | ORLAND PARK
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State | IL
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Zip | 60462-4766
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Country | US
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Telephone | 773-767-3822
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Fax | 773-767-3944
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY BATTLE-MILLER
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Credential | MD
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Telephone | 708-932-9351
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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 |
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License Number State | IL
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