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NPI Code Detail

MEDICARE: DR. KIMBERLY SHARON COLE M.D.

MEDICARE: DR. KIMBERLY SHARON COLE M.D.
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
1207ZP0101XAnatomic Pathology Physician036162024IL
2207SM0001XMolecular Genetic Pathology (Medical Genetics) Physician61824CT

General Provider Information

NPI Number : 1952540460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY SHARON COLE M.D.
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 888-824-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2009
Last Update Date : 02/16/2026

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