KELLY SUSTAITA

CHICAGO, IL
NPI1265120687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: IL  209027181)
Enumeration Date2023-04-25
Last Update Date2023-04-25
Business Address
Dr. KELLY SUSTAITA DNP
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 574-274-8641
Mailing Address
Dr. KELLY SUSTAITA DNP
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: