Individual
SUMMER GLYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC, LCCE
Contact information
Practice address
4828 N NEENAH AVE, CHICAGO, IL 60656-4018
(773) 316-4017
(773) 341-1597
Mailing address
4828 N NEENAH AVE, CHICAGO, IL 60656-4018
(773) 316-4017
(773) 341-1597
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041348560
IL
163WM0102X
Maternal Newborn Registered Nurse
041348560
IL
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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