Individual
MS. KELLY DENISE ZWIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1165 N CLARK ST STE 305, CHICAGO, IL 60610-7862
(312) 880-9913
Mailing address
1165 N CLARK ST STE 305, CHICAGO, IL 60610-7862
(312) 880-9913
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
277002145
IL
363L00000X
Nurse Practitioner
95003237
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277002145
IL
Other
Enumeration date
04/30/2014
Last updated
01/31/2025
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