Provider Demographics
NPI:1265042402
Name:KIGGUNDU, MARGERET (FNP)
Entity Type:Individual
Prefix:
First Name:MARGERET
Middle Name:
Last Name:KIGGUNDU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12273 DONAHUE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-6009
Mailing Address - Country:US
Mailing Address - Phone:312-317-9414
Mailing Address - Fax:
Practice Address - Street 1:12273 DONAHUE DR
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-6009
Practice Address - Country:US
Practice Address - Phone:312-317-9414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily