Individual
KELLY TRAINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2127
(847) 375-3000
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.008559
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.008559
STATE LICENSE NUMBER
IL
Enumeration date
02/07/2011
Last updated
10/11/2016
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