KELLIE DENNISTON FRISSORA

CHICAGO, IL
NPI1245857762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.021129)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0996971-NP)
363LF0000X Nurse Practitioner, Family
(Licence: OR  10023562)
363LF0000X Nurse Practitioner, Family
(Licence: AZ  278421)
Enumeration Date2020-06-30
Last Update Date2024-05-16
Business Address
KELLIE DENNISTON FRISSORA APRN, NP-C
2003 W FULTON ST STE 303
CHICAGO, IL 60612-2345
Phone number: 312-243-2223
Mailing Address
KELLIE DENNISTON FRISSORA APRN, NP-C
2003 W FULTON ST STE 303
CHICAGO, IL 60612-2345
Phone number: 312-243-2223