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Kelley Marie Anderson

Nurse Practitioner - Neonatal (Critical Care)

5721 S Maryland Ave
Chicago , Illinois 60637-1425

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Kelley Marie Anderson

Nurse Practitioner - Neonatal (Critical Care)

5721 S Maryland Ave
Chicago , Illinois 60637-1425

(815) 735-7137

Write a Review Save Call

Kelley Marie Anderson

Nurse Practitioner - Neonatal (Critical Care)

5721 S Maryland Ave
Chicago , Illinois 60637-1425

(815) 735-7137 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Neonatal (Critical Care)

Languages spoken

  • English

Location

5721 S Maryland Ave Chicago , Illinois 60637-1425

First Address

  • Kelley Marie Anderson
  • 1524 Lawrence Ave
  • Lockport, IL
  • Zip : 60441-4203
  • Phone : (815) 735-7137

Second Address

  • Kelley Marie Anderson
  • 5721 S Maryland Ave
  • Chicago, IL
  • Zip : 60637-1425
  • Phone : (773) 702-6565

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FAQs


Where did Kelley Marie Anderson attend graduate school?

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Where did Kelley Marie Anderson do her residency?

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Where did Kelley Marie Anderson do her fellowship?

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Is Kelley Marie Anderson board certified?

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What type of doctor is Kelley Marie Anderson

Nurse Practitioner - Neonatal (Critical Care)

In what state does Kelley Marie Anderson practice in?

Illinois

Where is Kelley Marie Anderson ’s practice located?

5721 S Maryland Ave , Chicago, Illinois, 60637-1425

What is Kelley Marie Anderson ’s gender?

Female

Is Kelley Marie Anderson a sole practitioner?

No

Is Kelley Marie Anderson accepting new patients?

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What languages does Kelley Marie Anderson speak?

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Does Kelley Marie Anderson accept insurance?

Yes, Kelley Marie Anderson accepts insurance

Does Kelley Marie Anderson offers telemedicine?

Kelley Marie Anderson has not indicated if she offers telemedicine

What is Kelley Marie Anderson ’s professional license number?

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What is Kelley Marie Anderson ’s NPI number?

1013674993

Does Kelley Marie Anderson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LN0005X Nurse Practitioner - Neonatal (Critical Care) 209.024433 IL

National Provider Identifier

NPI 1013674993
Provider Name Kelley Marie Anderson
First Address Lockport, IL 60441-4203
Second Address Chicago, IL 60637-1425
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/11/2021
Last Update Date 26/11/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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