KELLY DANAE VOTH

CHICAGO, IL
NPI1386083061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209010428)
Enumeration Date2013-06-17
Last Update Date2013-06-17
Business Address
Mrs. KELLY DANAE VOTH AGNP
2614 N WILTON AVE #1
CHICAGO, IL 60614-7999
Phone number: 620-200-1086
Mailing Address
Mrs. KELLY DANAE VOTH AGNP
2614 N WILTON AVE #1
CHICAGO, IL 60614-7999
Phone number: 620-200-1086