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1952873267
KIMBERLY SUMISLAWSKI
CHICAGO, IL
NPI
1952873267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH APP-000216482)
Enumeration Date
2018-12-27
Last Update Date
2019-09-14
Business Address
KIMBERLY SUMISLAWSKI PA-C
680 N LAKE SHORE DR
CHICAGO, IL 60611-4546
Phone number: 312-695-6868
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Mailing Address
KIMBERLY SUMISLAWSKI PA-C
36416 SCOTTSMOUR CT
AVON, OH 44011-3461
Phone number: 440-522-5002
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