Individual
KELSEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
680 N LAKE SHORE DR STE 1200, CHICAGO, IL 60611-8702
(312) 440-9400
Mailing address
5746 W WARWICK AVE, CHICAGO, IL 60634-2657
(314) 971-3029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015491
IL
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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