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NPI Code Detail

MEDICARE: DR. KIMBERLY A. LEMKE P.C.

MEDICARE: DR. KIMBERLY A. LEMKE P.C.
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
1103TC0700XClinical Psychologist071006999IL

General Provider Information

NPI Number : 1265668297
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. KIMBERLY A. LEMKE P.C.
Provider Business Mailing Address
First Line : 3333 WARRENVILLE RD STE 200
Second Line :
City : LISLE
State : IL
Zip : 60532-1999
Country : US
Telephone Number : 847-903-7916
Fax Number :
Provider Business Practice Location Address
First Line : 3333 WARRENVILLE RD STE 200
Second Line :
City : LISLE
State : IL
Zip : 60532-1999
Country : US
Telephone Number : 847-903-7916
Fax Number :
Authorized Official
Title or Position : PROVIDER
Name : DR. KIMBERLY A. LEMKE
Credential : PSYD
Telephone Number : 847-903-7916
Provider Enumeration Date : 06/04/2009
Last Update Date : 06/05/2009

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