KIMANI FITZGERALD

EAST PEORIA, IL
NPI1740011154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.029516)
Enumeration Date2024-08-08
Last Update Date2024-08-08
Business Address
KIMANI FITZGERALD
1000 CENTENNIAL DR
EAST PEORIA, IL 61611-4916
Phone number: 309-324-0880
Mailing Address
KIMANI FITZGERALD
6224 N TALISMAN TER
PEORIA, IL 61615-2749
Phone number: 309-231-3184