Individual
KELLY NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 LAKE COOK RD STE 312, DEERFIELD, IL 60015-4933
(877) 486-4140
Mailing address
2409 PEACHTREE LN, NORTHBROOK, IL 60062-3430
(847) 778-6050
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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