Miss Kimberly Michelle Waller, LPN - Licensed Practical Nurse in Chicago, IL

Miss Kimberly Michelle Waller, LPN is a Licensed Practical Nurse based in Chicago, Illinois. Miss Kimberly Michelle Waller is licensed to practice in Illinois (license number 043120655) and her current practice location is 4707 N Malden St, Apt 303, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at (312) 975-3312.

NPI number for Miss Kimberly Michelle Waller is 1407298698 and her current mailing address is 4707 N Malden St, Apt 303, Chicago, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407298698.

Contact Information

Miss Kimberly Michelle Waller, LPN
4707 N Malden St, Apt 303,
Chicago, IL 60640-6917
(312) 975-3312
Not Available



Provider's Profile

Full NameMiss Kimberly Michelle Waller
GenderFemale
SpecialityLicensed Practical Nurse
Location4707 N Malden St, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407298698
  • Provider Enumeration Date: 07/29/2013
  • Last Update Date: 07/21/2016

Medical Identifiers

Medical identifiers for Miss Kimberly Michelle Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407298698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 043120655 (Illinois)Primary
164W00000XLicensed Practical Nurse 128873 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kimberly Michelle Waller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Kimberly Michelle Waller, LPN
4707 N Malden St, Apt 303,
Chicago, IL 60640-6917

Ph: (312) 975-3312
Miss Kimberly Michelle Waller, LPN
4707 N Malden St, Apt 303,
Chicago, IL 60640-6917

Ph: (312) 975-3312

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› Verified 1 days ago


Licensed Practical Nurse Nurses in Chicago, IL

Daoud C Williams,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 709 W 59th St, Chicago, IL 60621
Phone: 773-587-9538    
Mrs. Renetta Denise Lincoln-stallworth, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 11110 S Homewood Ave, #a1, Chicago, IL 60643
Phone: 773-425-5951    
Stephanie Elizabeth Sluzinski,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 836 W Wellington Ave, Chicago, IL 60657
Phone: 773-975-1600    
Barbara Silas, L.P.N.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 625 N Michigan Ave, Ste #210, Chicago, IL 60611
Phone: 312-670-2530    Fax: 312-670-2630
Linda Jones,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 630 E 90th Pl, Chicago, IL 60619
Phone: 773-840-4824    
Marion Miller, LPN (LICENSED PRACTI
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 140 North Ashland Avenue, Chicago, IL 60607
Phone: 312-850-9411    
Nancy Chairez,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5517 N Kenmore Ave., Chicago, IL 60640
Phone: 714-333-7628    

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