Carbonara, Kimberly

Carbonara, Kimberly is an individual health care provider with primary practice located at 400 N Highland Ave , Aurora IL 60506-3814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carbonara, Kimberly can be contacted via phone (630) 978-9754.

Contact Information

Primary practice address
400 N Highland Ave Aurora IL 60506-3814
Fax: (630) 978-2709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 209003599 Illinois

Profile Details

NPI number 1730328154
LBN Legal business name Carbonara, Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2009
Last updated Feb 9th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730328154 NPPES
Illinois Other 209003599 LICENSE

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