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NPI Code Detail

MEDICARE: KIMBERLY GINTER CRNA

MEDICARE: KIMBERLY GINTER CRNA
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
1367500000XCertified Registered Nurse Anesthetist209001855IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1399980OTHERGROUP MEDICARE PTAN

General Provider Information

NPI Number : 1841301553
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY GINTER CRNA
Provider Business Mailing Address
First Line : PO BOX 7009
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-7009
Country : US
Telephone Number : 630-312-6677
Fax Number :
Provider Business Practice Location Address
First Line : 500 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4906
Country : US
Telephone Number : 630-312-6677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/25/2024

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Directions to “ KIMBERLY GINTER CRNA” Practice Location

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