Individual
KELLY DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2850 S WABASH AVE STE 106, CHICAGO, IL 60616-2491
(312) 842-4400
(312) 842-4595
Mailing address
2850 S WABASH AVE STE 106, CHICAGO, IL 60616-2491
(312) 842-4400
(312) 842-4595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015727
IL
Other
Enumeration date
07/15/2017
Last updated
07/21/2021
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