Individual
KAI-SA SELVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3144 S INDIANA AVE UNIT 1, CHICAGO, IL 60616-3844
(773) 699-1827
Mailing address
3144 S INDIANA AVE UNIT 1, CHICAGO, IL 60616-3844
(773) 699-1827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.032149
IL
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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