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Contact Information

JOHN KIMBALL
5841 S MARYLAND AVE
CHICAGO, IL60637-1443
 Phone: 773-702-0817
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JOHN KIMBALL · (Male)

NPI # 1972066199
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2019
Last updated 08/15/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036170529
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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