Individual
KENNEDY NICOLE MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 N MICHIGAN AVE, CHICAGO, IL 60611-4255
(312) 635-0973
Mailing address
161 W KINZIE ST APT 1506, CHICAGO, IL 60654-4736
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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