Individual
KELSEY NOVATZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5842 S MARYLAND AVE, CHICAGO, IL 60637-1462
(773) 702-1000
Mailing address
1223 W ERIE ST APT 2, CHICAGO, IL 60642-5715
(951) 775-7348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041417755
IL
163W00000X
Registered Nurse
797961
CA
363LF0000X
Family Nurse Practitioner
Primary
209022286
IL
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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