KELLY ANN DEWOLFE

LA GRANGE, IL
NPI1265525760
Former NameKELLY ANN RETZLAFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209006192)
Enumeration Date2006-10-02
Last Update Date2015-06-04
Business Address
Mrs. KELLY ANN DEWOLFE APN
47 6TH AVE
LA GRANGE, IL 60525-2499
Phone number: 708-783-6900
Mailing Address
Mrs. KELLY ANN DEWOLFE APN
1243 W MELROSE ST
CHICAGO, IL 60657-3217
Phone number: 414-467-2056