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Individual

ELLEN KENNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
430 WARRENVILLE RD STE 230, LISLE, IL 60532-1348
(888) 693-6437
(630) 432-6227
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010942
IL

Other

Enumeration date
01/28/2014
Last updated
07/11/2023
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