Individual
MRS. KELLY ANN GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2070 N. IL-50, SUITE 500, BOURBONNAIS, IL 60914
(779) 236-4094
Mailing address
2070 N IL-50, SUITE 500, BOURBONNAIS, IL 60914
(779) 236-4094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009907
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209009907
MEDICAL LICSENSE
IL
Enumeration date
11/05/2012
Last updated
02/09/2026
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