Individual provider · Type 1 NPI
Kimberly D. Van Wyngarden, APRN-BC
Nurse Practitioner · Tinley Park, IL
Practice location
17333 La Grange Rd Ste 220
Tinley Park, IL 60487-7510
Fax (708) 226-2390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209011021 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1497186472
Kimberly D. Van Wyngarden, APRN-BC's National Provider Identifier is 1497186472, issued on Dec 2, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tinley Park, IL. The record was last updated on Mar 3, 2026.