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Individual

CAROLYN KEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
675 N SAINT CLAIR ST STE 18-200, CHICAGO, IL 60611-5929
(312) 695-8630
(312) 695-2857
Mailing address
675 N SAINT CLAIR ST STE 18-200, CHICAGO, IL 60611-5929
(312) 695-8630
(312) 695-2857

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.412031
IL
363L00000X
Nurse Practitioner
Primary
209024166
IL
363LF0000X
Family Nurse Practitioner
209.024166
IL

Other

Enumeration date
07/14/2022
Last updated
12/07/2022
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