Individual
MRS. JANE PELOSI-KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-0096
(331) 221-3718
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277004198
IL
363LA2200X
Adult Health Nurse Practitioner
209003572
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209004060
IL
363LA2200X
Adult Health Nurse Practitioner
277004198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE RAILROAD (GROUP)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P01013429
MEDICARE RAILROAD (INDIVIDUAL)
IL
01
—
T01883
MEDICARE (INDIVIDUAL)
IL
Enumeration date
06/29/2007
Last updated
05/06/2026
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