Individual
LYNN ROXAS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
17850 KEDZIE AVE, HAZEL CREST, IL 60429-2058
(312) 550-3254
(708) 799-4805
Mailing address
11019 SHENANDOAH DR, ORLAND PARK, IL 60467-9414
(708) 307-5594
(773) 646-3955
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209014909
IL
Other
Enumeration date
09/26/2016
Last updated
04/29/2019
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