Provider Demographics
NPI:1801228580
Name:KUBINSKI, APRIL D (MSN FPA-APRN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:D
Last Name:KUBINSKI
Suffix:
Gender:F
Credentials:MSN FPA-APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 BROOKFOREST AVE
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-8849
Mailing Address - Country:US
Mailing Address - Phone:815-733-5952
Mailing Address - Fax:
Practice Address - Street 1:1039 BROOKFOREST AVE
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60404-8849
Practice Address - Country:US
Practice Address - Phone:815-790-7253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL377.000171OtherCONTROLLED SUBSTANCE LICENSE-FPA
IL277.000170OtherFULL PRACTICE AUTHORITY APRN