Individual
MRS. KELLY JO KULAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, ACNP-BC
Contact information
Practice address
1725 W HARRISON ST, RUSH UNIV MED CTR, NEUROLOGICAL SCIENCES, SUITE 1106, CHICAGO, IL 60612-3841
(312) 942-4500
(312) 563-2206
Mailing address
1725 W HARRISON ST, RUSH UNIV MED CTR, NEUROLOGICAL SCIENCES, SUITE 1106, CHICAGO, IL 60612-3841
(312) 942-4500
(312) 563-2206
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209007143
IL
Other
Enumeration date
07/21/2008
Last updated
03/11/2012
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