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Kelly Canerday, FNP-BC
Family Nurse Practitioner in Willowbrook, Illinois
NPI 1952744963

Kelly Canerday is a Family Nurse Practitioner based in Willowbrook, IL and is specialized in Family. Kelly Canerday practices in Willowbrook, IL and has the professional credentials of FNP-BC. The NPI Number for Kelly Canerday is 1952744963 and holds a License No. 209010147 (Illinois).

The current practice location address for Kelly Canerday is 40 75Th St Ste 1630, Willowbrook, IL and can be reached out via phone at 630-581-5372.

Location: 40 75Th St Ste 1630, Willowbrook, IL, 60527-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952744963
Provider Name
Kelly Canerday
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
40 75Th St Ste 1630, Willowbrook, IL, 60527-2325
Phone Number
630-581-5372
Fax Number
Provider Enumeration Date
04/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F400219797 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
40 75Th St Ste 1630
City
Willowbrook
State
Illinois
Zip
60527-2325
Phone Number
630-581-5372
Fax Number
person
Provider Business Mailing Address Details
Address
40 75Th St Ste 1630
City
Willowbrook
State
Illinois
Zip
60527-2325
Phone Number
630-581-5372
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209010147 (Illinois)
Definition
Definition to come...
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