KIMBERLY NICOLE LAVELLE

CHICAGO, IL
NPI1437431772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-004129)
Enumeration Date2011-09-13
Last Update Date2011-09-23
Business Address
-- KIMBERLY NICOLE LAVELLE PA-C
7531 S STONY ISLAND AVE
CHICAGO, IL 60649-3954
Phone number: 773-947-7500
Mailing Address
-- KIMBERLY NICOLE LAVELLE PA-C
231 E FREMONT AVE APT 104
ELMHURST, IL 60126-2400
Phone number: 847-774-1500
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