Individual
KELLY JEAN GARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18221 TORRENCE AVE, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455
Mailing address
921 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 615-2200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041308615
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209004532
IL
Other
Enumeration date
07/05/2006
Last updated
04/18/2025
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