Individual
KELLY KASHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1333 BURR RIDGE PKWY, SUITE 200, BURR RIDGE, IL 60527-6423
(630) 832-1775
Mailing address
1333 BURR RIDGE PKWY, SUITE 200, BURR RIDGE, IL 60527-6423
(630) 832-1775
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209013561
IL
Other
Enumeration date
08/30/2015
Last updated
10/21/2016
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