Individual
NORA KENNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3596
(708) 678-5112
Mailing address
2875 W 19TH ST, CHICAGO, IL 60623-3596
(708) 678-5112
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029185
IL
Other
Enumeration date
01/24/2024
Last updated
12/12/2024
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