Kimberly Duback, APN

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

209012326 Issued in IL

Practice address

4440 W 95TH St
Oak Lawn, IL 60453-2600

Phone

(708) 684-4207

NPI assigned

Feb 6, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1992196380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 LAMBETH LN",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519639",
            "telephone_number": "708-846-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBACK",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "IL",
            "license": "209012326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS. Leahy & Disalvo-Ost, P.C.
• Kurt Michael Drury, MD
• Du Page Medical Group LTD
• Luis Duarte
• Kathleen Dub, PTA
• Melissa Lee Duckett, PTA
• Kristen Angelene Dudzik, ANP
• Katelyn Marie Dugan, DO
• Kieya C Dugar, MD
• Tonyetta Duncan

• Pediatric Clinical Nurse Specialist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pediatric Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.