KELLY A PETERSON

CHICAGO, IL
NPI1255965208
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: IL  209.020968)
Enumeration Date2020-02-28
Last Update Date2020-02-28
Business Address
KELLY A PETERSON
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 312-227-4000
Mailing Address
KELLY A PETERSON
12516 S 71ST CT
PALOS HEIGHTS, IL 60463-1550
Phone number: 708-768-1694
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