Keldahl, Heather
Keldahl, Heather is an individual health care provider with primary practice located at 1653 W Congress Pkwy Jelke 739, Chicago IL 60612-3833. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Keldahl, Heather can be contacted via phone (312) 942-6504.Contact Information
Primary practice address
1653 W Congress Pkwy Jelke 739
Chicago IL 60612-3833
Phone: (312) 942-6504
Fax: (312) 942-5773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 209-008545 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 209008545041346941 | Illinois |
Profile Details
| NPI number | 1013215714 |
|---|---|
| LBN Legal business name | Keldahl, Heather |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2011 |
| Last updated | May 12th, 2023 - about 3 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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