Individual
KELLY KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
9230 AUBURN CT, ORLAND PARK, IL 60462-2060
(708) 341-8631
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
018314
IL
Other
Enumeration date
03/02/2019
Last updated
12/20/2021
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