Provider Demographics
NPI:1124481635
Name:SIKORA, KIMBERLEY NICOLE (MD)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:NICOLE
Last Name:SIKORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KIMBERLEY
Other - Middle Name:NICOLE
Other - Last Name:MONKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:911 N ELM ST STE 215
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3641
Mailing Address - Country:US
Mailing Address - Phone:630-323-0890
Mailing Address - Fax:630-323-9652
Practice Address - Street 1:911 N ELM ST STE 215
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3641
Practice Address - Country:US
Practice Address - Phone:630-323-0890
Practice Address - Fax:630-323-9652
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.136239208000000X
IL036.164950208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics