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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY FASULA, RDH, MS, MPH

Active Sole Proprietor

KIMBERLY FASULA, RDH, MS, MPH is a Dental Hygienist healthcare provider located in CHICAGO, Illinois. NPI 1548866916 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · CHICAGO, IL

Registration Details

NPI Number
1548866916
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2020 (5.7242572036263 yrs)
Last Updated
Dec 9, 2020
License
020009530 (IL)
Sole Proprietor
Yes

Practice Information

Address
836 W WELLINGTON AVE
CHICAGO, IL, 606575147
Browse IL providers · Browse ZIP 60657
Phone
7734746896
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in CHICAGO, IL

Name Credential NPI
ELOISE B. FRYE RDH 1740299841
MS. ZULMA DEJESUS RDH 1104046234
SUSAN MAYER DDS 1346453750
SANDRA MENDOZA RDH 1780893404
CHERYL KELLER RDH 1518176221
MRS. LYDIA ESQUIVEL RDH 1609013093
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.