Kimberly Ann Mulligan in Joliet - Physician Assistant
Kimberly Ann Mulligan - NPI 1780872788
Kimberly Ann Mulligan is a Physician Assistant in Joliet, Illinois. Kimberly Ann Mulligan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly Ann Mulligan is 1780872788. The last update date is 2018-06-18.
Kimberly Ann Mulligan's current location address is 2025 S Chicago St, Joliet, Illinois. You can contact this provider via phone number 8157262200 and fax number 3145368783. The mailing address for Kimberly Ann Mulligan is 2025 S Chicago St, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Ann Mulligan |
|---|---|
| Address | 2025 S Chicago St, Joliet, Illinois |
| Phone Number | 8157262200 |
| Fax Number | 3145368783 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780872788 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2018-06-18 |
Provider Mailing Address Detail
| Address | 2025 S Chicago St |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 60436 |
| Phone Number | 8157262200 |
| Fax Number | 3145368783 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3711 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 525200005 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kimberly Ann Mulligan by the Centers for Medicare & Medicaid Services?
The Kimberly Ann Mulligan has been issued the NPI (National Provider Identifier) 1780872788 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kimberly Ann Mulligan?
The Kimberly Ann Mulligan is situated at 2025 S Chicago St, in the city of Joliet, state of IL, with the zip code 60436.
What is Kimberly Ann Mulligan's area of expertise and its corresponding taxonomy classification?
The Kimberly Ann Mulligan's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kimberly Ann Mulligan receive the assignment of its 1780872788 from the Centers for Medicare & Medicaid Services?
The Kimberly Ann Mulligan was issued its 1780872788 by the Centers for Medicare & Medicaid Services on 2007-10-04.
As of what date were the Kimberly Ann Mulligan's details last updated?
The information pertaining to the Kimberly Ann Mulligan, including its address, specialty, and other details, was most recently updated on 2018-06-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY