Janssen, Kellie

Janssen, Kellie is an individual health care provider with primary practice located at 4700 Gilbert Ave Ste 51 , Western Springs IL 60558-1664. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Neuroscience. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Janssen, Kellie can be contacted via phone (708) 387-1737.

Contact Information

Primary practice address
4700 Gilbert Ave Ste 51 Western Springs IL 60558-1664
Phone: (708) 387-1737
Fax: (708) 387-1739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006624 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601006624 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Neuroscience 364SN0800X 5601006624 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003980 Illinois

Profile Details

NPI number 1194014498
LBN Legal business name Janssen, Kellie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Oct 5th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194014498 NPPES
Illinois Other 085003980 PHYSICIAN ASSISTANT LICENSE

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