Individual
KELSEY AUGUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 S GREENLEAF ST STE 112, GURNEE, IL 60031-5705
(847) 336-8427
Mailing address
222 S GREENLEAF ST STE 112, GURNEE, IL 60031-5705
(847) 336-8427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028389
IL
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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