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KIMBERLY FASULA RDH, MS, MPH
NPI 1548866916
Dental Hygienist in Chicago, IL

Active since December 09, 2020
836 W WELLINGTON AVE, CHICAGO, IL 60657(773) 474-6896 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Fasula Rdh, Ms, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY FASULA RDH, MS, MPH (NPI 1548866916) is an individual dental hygienist in Chicago, Illinois, licensed in Illinois (020009530) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1548866916
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameKIMBERLY FASULACredential: RDH, MS, MPH
Location Address836 W WELLINGTON AVEChicago, IL 60657-5147
Mailing Address3830 S Lowe AveChicago, IL 60609-1645 · (773) 474-6896
Phone(773) 474-6896
Sole ProprietorYes
Enumeration DateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1548866916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in IL · 020009530
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
836 W WELLINGTON AVE, Chicago, IL 60657
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT R TURELLI JR. MD
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5878
JAYME L. CAPPA
Speech-Language Pathologist
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-7988
DR. CHIMUANYA OKOLI MD
Internal Medicine (Sleep Medicine)
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5424
DEBRA FARIDA
Nurse Anesthetist, Certified Registered
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 975-1600
MALIK SAHOURI DO
Anesthesiology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5187
SERGIO GUTIERREZ NUNEZ MD
Anesthesiology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-5187
MS. NOREEN MARIE SHERIDAN RD. LDN,CDE
Dietitian, Registered
836 W WELLINGTON AVE, FOOD AND NUTRITION DEPT.
CHICAGO, IL 60657
Cook County (773) 296-5912
ANN M HARVEY APN, CNP
Nurse Practitioner
836 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 296-3646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Fasula's NPI number?

The NPI number for Kimberly Fasula is 1548866916. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Kimberly Fasula located?

Kimberly Fasula practices at 836 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 474-6896.

What is Kimberly Fasula's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Fasula was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.