Kimberly Sue Scanlon DO

NPI 1073526463 - Family Medicine - 207Q00000X

NPI Details
NPI 1073526463
Gender Female
Enumeration Date 08/15/2006
Last Updated 12/14/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
5600 WOLF RD
SUITE 110
WESTERN SPRINGS IL, 60558-2254, US
Phone (708) 246-4155
Fax (708) 246-9489
Business Location
1860 PAYSPHERE CIR
CHICAGO IL, 60674-0018, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036-095831
Remove 1073526463 NPI Number
 

According to our database, Dr. Kimberly Sue Scanlon DO NPI is 1073526463, taxonomy code is 207Q00000X and license number is 036-095831, license state is located at Illinois. Kimberly Sue Scanlon DO physically located at 5600 Wolf Rd, Western Springs IL, 60558-2254. NPI Number Kimberly Sue Scanlon DO has the Individual type.

Sponsored links

1073526463 NPI number is provided on an as is basis without warranty of any kind. 1073526463 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Sue Scanlon DO are for informational purposes only.