Individual
KELLIE DENNISTON FRISSORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
200 S WACKER DR FL 31, CHICAGO, IL 60606-5877
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024195284
VA
363LF0000X
Family Nurse Practitioner
10023562
OR
363LF0000X
Family Nurse Practitioner
1178923
TX
363LF0000X
Family Nurse Practitioner
Primary
209.021129
IL
363LF0000X
Family Nurse Practitioner
278421
AZ
363LF0000X
Family Nurse Practitioner
APN.0996971-NP
CO
363LF0000X
Family Nurse Practitioner
APRN-5499
HI
Other
Enumeration date
06/30/2020
Last updated
11/13/2025
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