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NPI Code Detail

MEDICARE: DR. KIMBERLY A HUNTINGTON-ALFANO D.O.

MEDICARE: DR. KIMBERLY A HUNTINGTON-ALFANO D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician36098526IL

General Provider Information

NPI Number : 1013932326
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY A HUNTINGTON-ALFANO D.O.
Provider Business Mailing Address
First Line : 3450 LACEY RD
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-5430
Country : US
Telephone Number : 630-743-4500
Fax Number : 630-743-4500
Provider Business Practice Location Address
First Line : 3450 LACEY RD
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-5430
Country : US
Telephone Number : 630-743-4500
Fax Number : 630-743-4500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 01/29/2018

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Directions to “ DR. KIMBERLY A HUNTINGTON-ALFANO D.O.” Practice Location

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