KIMBERLY ANN BLOCK

BONAVENTURE MEDICAL FOUNDATION LLC

Dr KIMBERLY ANN BLOCK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

BONAVENTURE MEDICAL FOUNDATION LLC

50 S NORTHWEST HWY
PALATINE
IL
600746231

Tel: 8472026020

KIMBERLY ANN BLOCK Information

Npi 1053657270
Pac Id 8921356163
Professional Enrollment Id I20180806000781
Last Name BLOCK
First Name KIMBERLY
Middle Name ANN
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BONAVENTURE MEDICAL FOUNDATION LLC
Group Practice Pac Id 7517863178
Number Of Group Practice Members 207
Line 1 Street Address 50 S NORTHWEST HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PALATINE
State IL
Zip Code 600746231
Phone Number 8472026020
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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