Individual
HEIDI KELLERSTRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2301 COURT ST, PEKIN, IL 61554-5304
(309) 308-5100
Mailing address
323 CYPRESS ST, PEKIN, IL 61554-2509
(309) 678-7418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.028560
IL
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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