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Ms. Kelly Jane Lydon
Family Nurse Practitioner in Elk Grove Village, Illinois
NPI 1891308060

Kelly Jane Lydon is a Family Nurse Practitioner based in Elmhurst, IL and is specialized in Family. Kelly Jane Lydon practices in Elk Grove Village, IL. The NPI Number for Kelly Jane Lydon is 1891308060 and holds a License No. 209.02174 (Illinois).

The current practice location address for Kelly Jane Lydon is 800 Biesterfield Rd, Elk Grove Village, IL and can be reached out via phone at 847-981-3599.

Location: 800 Biesterfield Rd, Elk Grove Village, IL, 60126-1629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891308060
Provider Name
Kelly Jane Lydon
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 Biesterfield Rd, Elk Grove Village, IL, 60126-1629
Phone Number
847-981-3599
Fax Number
Provider Enumeration Date
08/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.021740 01 IL APN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
800 Biesterfield Rd
City
Elk Grove Village
State
Illinois
Zip
60007-3361
Phone Number
847-981-3599
Fax Number
person
Provider Business Mailing Address Details
Address
800 Biesterfield Rd
City
Elk Grove Village
State
Illinois
Zip
60007-3361
Phone Number
847-981-3599
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.02174 (Illinois)
Definition
Definition to come...
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