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Individual

KELSEY TARA LIPINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
215 W LAKE ST APT 2111, CHICAGO, IL 60606-1882
(617) 686-5455

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.027540
IL

Other

Enumeration date
09/20/2023
Last updated
09/20/2023
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