Castro, Kelli Marie

Castro, Kelli Marie is an individual health care provider with primary practice located at 1725 W Harrison St , Chicago IL 60612-3841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Castro, Kelli Marie can be contacted via phone (309) 945-8218.

Contact Information

Primary practice address
1725 W Harrison St Chicago IL 60612-3841
Phone: (309) 945-8218
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP144847 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209020949 Illinois

Profile Details

NPI number 1609407329
LBN Legal business name Castro, Kelli Marie
Credentials APRN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2020
Last updated Mar 13th, 2023 - about last year

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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