Kakooza, Kimberly Fauke

Kakooza, Kimberly Fauke is an sole proprietor health care provider with primary practice located at 12850 S Ashland Ave , Calumet Park IL 60827-6308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kakooza, Kimberly Fauke can be contacted via phone (708) 972-7958.

Contact Information

Primary practice address
12850 S Ashland Ave Calumet Park IL 60827-6308
Phone: (708) 972-7958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.018538 Illinois

Profile Details

NPI number 1891268991
LBN Legal business name Kakooza, Kimberly Fauke
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2019
Last updated Aug 16th, 2022 - about 4 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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