Dewolfe, Kelly Ann

Dewolfe, Kelly Ann is an sole proprietor health care provider with primary practice located at 47 6Th Ave , La Grange IL 60525-2499. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dewolfe, Kelly Ann can be contacted via phone (708) 783-6900.

Contact Information

Primary practice address
47 6Th Ave La Grange IL 60525-2499
Phone: (708) 783-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006192 Illinois

Profile Details

NPI number 1265525760
LBN Legal business name Dewolfe, Kelly Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jun 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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