Individual
KELLY A MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-C
Contact information
Practice address
6131 DEMPSTER ST, MORTON GROVE, IL 60053-2953
(847) 967-5010
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012025
IL
Other
Enumeration date
12/05/2014
Last updated
03/20/2025
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