Jake Alan Kimlicka
Certified Registered Nurse Anesthetist · Maywood, IL
Practice location
2160 S 1st AveMaywood, IL 60153-3328
- Phone
- (888) 584-7888
NPI record
- NPI
- 1508529942
- Entity type
- Individual (Type 1)
- Enumeration date
- October 21, 2021
- Last updated
- May 21, 2022
- Certified
- May 21, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X |
209.024183 | IL |
About Jake Kimlicka
Jake Alan Kimlicka is a healthcare provider registered in the NPI registry with the primary taxonomy Certified Registered Nurse Anesthetist (code 367500000X). The practice location is 2160 S 1st Ave, Maywood, IL 60153-3328. The NPI number 1508529942 was assigned on October 21, 2021 and the record was last updated on May 21, 2022.
Jake Kimlicka lists a license in the registry: #209.024183 (IL) for Certified Registered Nurse Anesthetist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jake Alan Kimlicka?
The NPI number is 1508529942.
What is the phone number of Jake Kimlicka?
The phone number listed for the practice location is (888) 584-7888.
Where is Jake Kimlicka located?
2160 S 1st Ave, Maywood, IL 60153-3328.
What is the taxonomy code for Jake Kimlicka?
The primary taxonomy code is 367500000X – Certified Registered Nurse Anesthetist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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