Kelly, Meghan

Kelly, Meghan is an individual health care provider with primary practice located at 1653 W Congress Pkwy , Chicago IL 60612-3833. 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. Kelly, Meghan can be contacted via phone (888) 352-7874.

Contact Information

Primary practice address
1653 W Congress Pkwy Chicago IL 60612-3833
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.016987 Illinois

Profile Details

NPI number 1316452246
LBN Legal business name Kelly, Meghan
Credentials MSN, RN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2017
Last updated Dec 14th, 2017 - about 8 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 1316452246 NPPES
Illinois Other 041.458330 REGISTERED NURSING LICENSE NUMBER
Illinois Other 209.016987 REGISTERED NURSING LICENSE NUMBER

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