KIMBERLY REULE (NPI# 1881099240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881099240 |
| Entity Type | Individual |
| Full Name | KIMBERLY REULE |
| Other Name | KIMBERLY KENNY |
| Credential | APN, FNP |
| Practice Address |
2850 W 95th Street Suite 400 Evergreen Park IL 60805 |
| Practice Telephone | 7084247600 |
| Practice Fax Number | 7084247605 |
| Mailing Telephone | 7084247600 |
| Mailing Fax Number | 7084247605 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209011755 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2850 W 95TH STREET SUITE 400 |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225066129 | Kunhunni Vellody | Pediatrics | 2850 W 95th Street, Suite 203, Evergreen Park, IL 60805-2734 | 2006-06-29 |
| 1407306400 | Kathleen Mary Galyean | Physician Assistant | 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 | 2016-10-13 |
| 1215279393 | Katherine M Riff | Pediatrics | 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851874929 | Donna T Skinner | Nurse Practitioner | 2613 W 98th St, Evergreen Park, IL 60805-3237 | 2018-09-13 |
| 1841667813 | Kaitlyn Bridget Frank | Nurse Practitioner | 9410 S Saint Louis Ave, Evergreen Park, IL 60805-2218 | 2015-08-26 |
| 1275186579 | Lydia Eileen Odell | Nurse Practitioner | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2019-07-17 |
| 1831676014 | Ishmaella R Wilson-mills | Nurse Practitioner | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2018-07-20 |
| 1306330642 | Jeffrey Steven Mitchell | Nurse Practitioner | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2018-06-20 |
| 1255820627 | Patricia Swistowicz | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2018-05-01 |
| 1801398326 | Antoinette Marie Murphy | Nurse Practitioner | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2018-02-28 |
| 1518468727 | Connie Vaneekeren | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2018-02-22 |
| 1215447735 | Joice Illimoottil | Nurse Practitioner | 9401 S Pulaski Rd, Evergreen Park, IL 60805-1924 | 2017-10-11 |
| 1609230887 | Suzanne Glavin | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2016-04-13 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
Please comment or provide details below to improve the information on KIMBERLY REULE.
| 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.