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MRS. DANIELLE IRENE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
525 E CONGRESS PKWY STE 200, CRYSTAL LAKE, IL 60014-6271
(847) 381-8899
Mailing address
6635 WOODLAND HILLS DR, VILLAGE OF LAKEWOOD, IL 60014-4859

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209028880
IL

Other

Enumeration date
12/04/2023
Last updated
04/24/2024
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