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1376966333
ELLEN KENNELLY
LISLE, IL
NPI
1376966333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209010942)
Enumeration Date
2014-01-28
Last Update Date
2023-07-11
Business Address
ELLEN KENNELLY FNP
430 WARRENVILLE RD STE 230
LISLE, IL 60532-1348
Phone number: 888-693-6437
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Mailing Address
ELLEN KENNELLY FNP
PO BOX 713260
CHICAGO, IL 60677-1260
Phone number: 630-469-9200
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