Kim Whiteside

NPI #1386196780 in Zion, Illinois

Provider Information

NPI Number
1386196780
Entity Type
Individual
Name
Kim Whiteside
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Private Vehicle
Enumeration Date
Nov 1, 2016
Last Updated
Nov 1, 2016

Practice Location

Address
2204 GABRIEL AVE
City
Zion
ZIP Code
60099-2223
Phone
(847) 815-3316

Specialties & Taxonomy Codes

Specialty
Private Vehicle

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