Individual
KELLY RIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3825 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1552
(630) 386-7140
Mailing address
386 SIERRA AVE, NAPERVILLE, IL 60565-3086
(630) 386-7140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013254
IL
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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