Individual
MRS. KELLY SUZANNE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, FNP-BC
Contact information
Practice address
600 ENTERPRISE DR, OAK BROOK, IL 60523-1922
(312) 728-4728
Mailing address
851 PAPOOSE CT, CAROL STREAM, IL 60188-1431
(708) 769-1710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.024727
IL
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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