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Individual

MRS. KELLY SAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4829 S COTTAGE GROVE AVE, CHICAGO, IL 60615-1600
(312) 337-1073
Mailing address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 216-8020

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209015182
IL
363LF0000X
Family Nurse Practitioner
Primary
277002668
IL

Other

Enumeration date
01/18/2017
Last updated
08/09/2024
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