NPI 1801617923

Kim Macchia

Practitioner Other Technician Oak Brook, IL

Practice location

Address: 120 Oakbrook Center Mall STE 216, Oak Brook, IL 60523-4713
Phone: (630) 571-5470
Mailing address: 145 E Quincy St, Riverside, IL 60546-2175

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 220.000051 (IL)

Other Technician, Other providers in Illinois →

Registry record

NPI: 1801617923
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2024
Record last updated: 21 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.