Kelly, Leslie

Kelly, Leslie is an individual health care provider with primary practice located at 2850 W 95Th St , Evergreen Park IL 60805-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Leslie can be contacted via phone (708) 423-2662.

Contact Information

Primary practice address
2850 W 95Th St Evergreen Park IL 60805-2735
Phone: (708) 423-2662
Fax: (708) 398-6926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012373 Illinois

Profile Details

NPI number 1386037984
LBN Legal business name Kelly, Leslie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2015
Last updated Oct 15th, 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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