Individual
KELI PHILLIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
Mailing address
PO BOX 1109, DEKALB, IL 60115-7109
(815) 756-4875
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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