Organization
NORTHWESTERN MEMORIAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY JO NELSON BSN, MSN, FNP (NURSE PRACTITONER)
(847) 471-3513
Entity
Organization
Contact information
Practice address
1030 N WOLCOTT AVE, CHICAGO, IL 60622-5986
(847) 471-3513
Mailing address
1030 N WOLCOTT AVE, CHICAGO, IL 60622-5986
(847) 471-3513
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
209012197
IL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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