Kimberly L Donald (NPI# 1245606946, PAC ID# 7810297751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245606946 |
| PAC ID by PECOS | 7810297751 |
| Professional Enrollment ID | I20151130000570 |
| Full Name | Kimberly L Donald |
| Organization Legal Name | PHYSICIANS IMMEDIATE CARE LTD. |
| Address |
3475 S Alpine Rd Rockford IL 61109-2604 |
| Phone Number | 8158748000 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486568813 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140012 | KATHERINE SHAW BETHEA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3475 S Alpine Rd, Rockford, IL 61109-2604 | 8158748000 | PHYSICIANS IMMEDIATE CARE LTD. |
| Organization Legal Name | PHYSICIANS IMMEDIATE CARE LTD. |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trisha D Leonard | Physician Assistant | Physicians Immediate Care Ltd. | 1009 Fairway Dr, Freeport, IL 61032-6600 |
| Sharon J Jones Burtlow | Nurse Practitioner | Physicians Immediate Care Ltd. | 1672 S Gelena Ave, Dixon, IL 61021 |
| Jorge L Villacorta | Family Medicine | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Patricia M Adamski | Physician Assistant | Physicians Immediate Care Ltd. | 2496 Dekalb Ave, Sycamore, IL 60178-3153 |
| Anna K Ellerbroek | Physician Assistant | Physicians Immediate Care Ltd. | 1663 Belvidere Rd, Belvidere, IL 61008-9306 |
| Terry Lee Strawser | Family Medicine | Physicians Immediate Care Ltd. | 6595 E State St, Rockford, IL 61108-2542 |
| Emily C Lutgen | Physician Assistant | Physicians Immediate Care Ltd. | 2496 Dekalb Ave, Sycamore, IL 60178-3153 |
| Terry L Buzzard | Family Medicine | Physicians Immediate Care Ltd. | 6595 E State St, Rockford, IL 61108-2542 |
| Douglas A Blazer | Physician Assistant | Physicians Immediate Care Ltd. | 2496 Dekalb Ave, Sycamore, IL 60178-3153 |
| Amanda J Rogde | Physician Assistant | Physicians Immediate Care Ltd. | 2496 Dekalb Ave, Sycamore, IL 60178-3153 |
| Street Address |
3475 S ALPINE RD |
| City | ROCKFORD |
| State | IL |
| Zip | 61109-2604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge L Villacorta | Family Medicine | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Julie Vicencio | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Hanna J Rakowski | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| David Beutel | Physical Therapy | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Lisa A Carani | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Tiffany J Farrell | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Brittany N Frisella | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Keely E Pedersen | Physician Assistant | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Joseph Gunther | Optometry | Miller Eye Center Ltd | 2995 Eastrock Dr, Rockford, IL 61109-1737 |
| Ahmet Ozkok | Ophthalmology | Miller Eye Center Ltd | 2995 Eastrock Dr, Rockford, IL 61109-1737 |
| Eric P Marnul | Optometry | Miller Eye Center Ltd | 2995 Eastrock Dr, Rockford, IL 61109-1737 |
| Janice Benedict | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Christina M Warden | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Philip L Curtin | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Lynn Wheeler | Nurse Practitioner | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Ashley Bockelman | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Jennifer Fricke | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Delinda E Grindle | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Find all physicians in zip 61109 | |||
| City | ROCKFORD |
| Zip Code | 61109 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCKFORD + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.