Individual
MRS. KELLY ANN VAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4423 N RAVENSWOOD AVE, CHICAGO, IL 60640-5802
(773) 432-6570
Mailing address
4423 N RAVENSWOOD AVE, CHICAGO, IL 60640-5802
(773) 432-6570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277002141
IL
Other
Enumeration date
01/18/2007
Last updated
11/02/2023
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