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1437431772
KIMBERLY NICOLE LAVELLE
CHICAGO, IL
NPI
1437431772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-004129)
Enumeration Date
2011-09-13
Last Update Date
2011-09-23
Business Address
-- KIMBERLY NICOLE LAVELLE PA-C
7531 S STONY ISLAND AVE
CHICAGO, IL 60649-3954
Phone number: 773-947-7500
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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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