Organization
AMERICAN FRONTLINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE KEC APRN (OWNER)
(630) 297-3995
Entity
Organization
Contact information
Practice address
36W227 HOLLOWSIDE DR, DUNDEE, IL 60118-9277
(630) 297-3995
Mailing address
36W227 HOLLOWSIDE DR, DUNDEE, IL 60118-9277
(630) 297-3995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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