KELLY K GRANNIS

EVANSTON, IL
NPI1821646639
Former NameKELLY KULINSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209019940)
Enumeration Date2019-08-27
Last Update Date2024-07-02
Business Address
KELLY K GRANNIS APRN
2650 RIDGE AVE
EVANSTON, IL 60201-1700
Phone number: 847-570-2000
Mailing Address
KELLY K GRANNIS APRN
60 REVERE DR STE 100
NORTHBROOK, IL 60062-1590
Phone number: 224-306-1879
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