Individual
MS. GAIL KELLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-8000
(708) 327-9160
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-8000
(708) 327-9160
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.005627
IL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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