Individual
KELLY TRUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
5841 N MARYLAND AVE, MC6098, CHICAGO, IL 60637-4903
(773) 702-1278
(773) 702-1297
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 834-6539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.011867
IL
Other
Enumeration date
02/19/2015
Last updated
08/21/2018
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