Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimberly Ann Mulligan, PA-C

Individual provider Physician Assistant · NPI 1780872788

MS. Kimberly Ann Mulligan, PA-C is a Physician Assistant in Joliet, Illinois. Licensed in Arizona and Illinois. Registered with an NPI since 2007.

Licensed in
AZ, IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2025 S Chicago St
Joliet, IL 60436
Phone: (815) 726-2200
Fax: (314) 536-8783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085003958 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 3711 (AZ)

Record details

NPI number1780872788
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2007
Last updated in NPPESJune 18, 2018

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