IndividualActive
Kimberly Stover
NPI 1619678786 · Technician/Technologist · Skokie, IL
Provider details
- NPI number
- 1619678786
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 663641883 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
8707 Skokie Blvd
Skokie, IL 60077-2269
Phone: (312) 623-5595
Approximate (ZIP-level) locationGet directions
Mailing address
8707 Skokie Blvd
Skokie, IL 60077-2269
Registry dates
- Enumerated
- 2023-03-15
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.