Individual
KELLSIE MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1675 W DEMPSTER ST FL 3, PARK RIDGE, IL 60068-1110
(847) 723-5437
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041.487063
IL
2080P0006X
Developmental - Behavioral Pediatrics Physician
209.029558
IL
363L00000X
Nurse Practitioner
Primary
209.029558
IL
363LF0000X
Family Nurse Practitioner
209.029558
IL
Other
Enumeration date
12/14/2023
Last updated
07/10/2024
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