Individual
KELLY TAVORMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11560 S KEDZIE AVE STE 200, MERRIONETTE PARK, IL 60803-4517
(708) 974-5800
(708) 371-0466
Mailing address
17052 LOCKWOOD AVE, TINLEY PARK, IL 60477-3104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041374051
IL
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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