Individual
MS. KELLY JO PFEIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2428
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005878
IL
363AM0700X
Medical Physician Assistant
085005878
IL
Other
Enumeration date
07/06/2016
Last updated
03/23/2026
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