Individual
LAURA KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
5841 S MARYLAND AVE STE E500, CHICAGO, IL 60637-1443
(773) 702-2500
Mailing address
1442 W WALTON ST APT 2, CHICAGO, IL 60642-5543
(773) 504-2607
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209028532
IL
Other
Enumeration date
10/25/2023
Last updated
05/30/2024
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