Kelsey A Fitzgerald
Physical Therapist Pain Medicine
7474 E State St Ste 118
Rockford
, Illinois 61108-2644
Kelsey A Fitzgerald
Physical Therapist Pain Medicine
7474 E State St Ste 118
Rockford
, Illinois 61108-2644
(630) 928-5080
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About
Features
Specialties
- Pain Medicine
- Physical Therapist
Languages spoken
- English
Location
First Address
- Kelsey A Fitzgerald
- 2122 York Rd Ste 300
- Oak Brook, IL
- Zip : 60523-1925
- Fax : (630) 928-5080
- Phone : (630) 575-1980
Second Address
- Kelsey A Fitzgerald
- 7474 E State St Ste 118
- Rockford, IL
- Zip : 61108-2644
- Fax : (815) 397-4459
- Phone : (815) 397-4439
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081P2900X | Pain Medicine | 293421 | CA |
| Y | 225100000X | Physical Therapist | 070-025987 | IL |
National Provider Identifier
| NPI | 1396260758 |
|---|---|
| Provider Name | Kelsey A Fitzgerald |
| First Address | Oak Brook, IL 60523-1925 |
| Second Address | Rockford, IL 61108-2644 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2017 |
| Last Update Date | 30/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.