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Individual

MS. KELLY JAYNE MAKOWSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APN, CPNP

Contact information

Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-6280
Mailing address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-6280

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209013168
IL

Other

Enumeration date
03/15/2016
Last updated
03/15/2016
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