KIMBERLY WESSENDORF


Address: 1 Ingalls Dr, Harvey, IL 60426-3558
Phone: 7089155290

KIMBERLY WESSENDORF (NPI# 1225549447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225549447
Entity Type Individual
Full Name KIMBERLY WESSENDORF
Credential FNP-BC
Practice Address 1 Ingalls Dr
Harvey
IL 60426-3558
Mailing Address 1332 Boeger Ave
Westchester
IL 60154-3404
Practice Telephone 7089155290
Enumeration Date 2017-10-15
Last Update Date 2017-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209016070 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 INGALLS DR
City HARVEY
State IL
Zip Code 60426-3558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245239789 Lisa M. Bibb Pathology 1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 2005-07-18
1306453501 Nicole Stephen Pharmacist 1 Ingalls Dr, Harvey, IL 60426-3558 2020-09-30
1730704958 Emily Limberg Pharmacist 1 Ingalls Dr, Harvey, IL 60426-3558 2020-06-12
1215566781 Willie C Harmon Sr. Psychologist 1 Ingalls Dr, Harvey, IL 60426-3558 2020-04-06
1356988216 La Vera Nelson Nurse Practitioner 1 Ingalls Dr, Harvey, IL 60426-3591 2019-12-10
1679037451 Bernice Lynette Mclaurin Pharmacist 1 Ingalls Dr, Harvey, IL 60426-3558 2019-01-26
1720579493 Eugenia V Whalen-robinson Social Worker 1 Ingalls Dr, Harvey, IL 60426-3558 2018-05-29
1972010718 Lindsay Syring Physician Assistant 1 Ingalls Dr, Harvey, IL 60426-3558 2018-01-02
1063921799 Reda Kubilius Nurse Practitioner 1 Ingalls Dr, Harvey, IL 60426-3558 2017-09-26
1649789876 Jeanette Varquez Nurse Practitioner 1 Ingalls Dr, Harvey, IL 60426-3558 2017-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295377471 Carol E Gillett Technician 14607 Jefferson St., Harvey, IL 60426 2019-10-09
1356866479 Zzm Investments Inc Non-emergency Medical Transport (VAN) 16429 Halsted St, Harvey, IL 60426 2017-08-09
1639628225 Scottlab, Ltd. Clinical Medical Laboratory 71 W 156th St Ste 206a, Harvey, IL 60426 2016-09-24
1043608631 Yvette M. Johnson Nurse Practitioner 31 W. 155th Street, Harvey, IL 60426 2015-01-05
1558665539 Phillip T Robinson Contractor 16001 Marshfield St, Harvey, IL 60426 2011-01-05
1669657466 South Shore Behavioral Consultants Counselor 369 East 147th Street Suite E, Harvey, IL 60426 2007-12-31
1770784670 County of Cook Harvey Public School District 152 Local Education Agency (LEA) 152nd Myrtle St, Harvey, IL 60426 2007-05-29
1518180678 Associated Medical Center Sc Family Medicine 15900 So Carol Avenue, Harvey, IL 60426 2007-04-10
1336269133 Cook County Clinic/Center 650 E Phoenix Center Dr, Phoenix, IL 60426 2007-03-29
1932243433 Michael T Jones Dmd Ltd Dentist 15335 Page Ave, Harvey, IL 60426 2007-02-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104431394 Alisha Michelle Cannon Arena Nurse Practitioner 1901 Manhattan Blvd Ste 202, Harvey, LA 70058-3582 2020-09-14
1124643614 Adreonne Kaydrell Lewis Houston Nurse Practitioner 2010 N Village Green St, Harvey, LA 70058-7002 2020-06-10
1396246401 Shannon Kathleen Male Nurse Practitioner 71 W 156th St Ste 401, Harvey, IL 60426-4265 2018-02-23
1104014026 Cynthia Kudji LLC Nurse Practitioner 3924 Red Cypress Dr, Harvey, LA 70058-5815 2007-10-04
1558468850 Ysonde Maria Hobbs Nurse Practitioner 4103 Lac Couture Dr., Harvey, LA 70058 2006-09-20
1043286834 Karen S. Lambousy Nurse Practitioner 1804 Lake Superior Dr, Harvey, LA 70058-5139 2006-02-23
1164084133 Regina Channell Ruffin Nurse Practitioner 31 W 155th St, Harvey, IL 60426-3556 2019-06-30
1902396542 Tina Desiree Lofton-mosley Nurse Practitioner 15620 Wood St, Harvey, IL 60426-4171 2018-05-17
1003303769 Maira Ochoa Nurse Practitioner 31 W 155th St, Harvey, IL 60426-3556 2018-04-18
1053855908 Stephanie Liggons Nurse Practitioner 31 W 155th St, Harvey, IL 60426-3556 2016-12-12
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Competitor

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City HARVEY
Zip Code 60426

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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