JOSEPHINE KIDDER

CHICAGO, IL
NPI1003426149
Former NameJOSEPHINE P. FERREL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4704287340)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209020741)
Enumeration Date2020-08-04
Last Update Date2025-01-03
Business Address
JOSEPHINE KIDDER NP
2923 N CALIFORNIA AVE STE 220
CHICAGO, IL 60618-7702
Phone number: 888-220-6432
Mailing Address
JOSEPHINE KIDDER NP
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527-0872
Phone number: 630-655-6748