Individual
KELLY MISAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4440 W 95TH ST STE 183, OAK LAWN, IL 60453-2600
(708) 520-1313
(708) 684-3049
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209.025044
IL
363LF0000X
Family Nurse Practitioner
209.025044
IL
Other
Enumeration date
06/20/2022
Last updated
02/26/2025
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