Individual provider · Type 1 NPI
Stephanie R. Kennedy-Mallum, MSN, APN, FNP-BC
Nurse Practitioner · Skokie, IL
Practice location
9977 Woods Dr # 100
Skokie, IL 60077-1057
Fax (847) 663-8290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209022352 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
7 other providers at this address
- Eric H. Patten, PA-CPhysician Assistant Skokie, IL NPI 1285295428
- Gagandeep Daul, MDFamily Medicine Physician Skokie, IL NPI 1699137828
- Milena Stefanovich, APRN, CNPNurse Practitioner Skokie, IL NPI 1811610801
- Munish Kaushik, MDFamily Medicine Physician Skokie, IL NPI 1801327390
- Patricia Mila-Mei Talusan Valdepenas, PA-CPhysician Assistant Skokie, IL NPI 1659170694
- Riley Mae Bormann, PA-CPhysician Assistant Skokie, IL NPI 1891450565
- Sarah Nicole Kinsey, DOFamily Medicine Physician Skokie, IL NPI 1619105491
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- Cristina Ventura, APN-CNPNurse Practitioner Skokie, IL NPI 1043676067
- Kathleen Masella, R.N., AGNP-CNurse Practitioner Skokie, IL NPI 1043752918
- Eamann Ayyad, APN-CNPNurse Practitioner Skokie, IL NPI 1083171813
- Jaimie Salise, APN-CNPNurse Practitioner Skokie, IL NPI 1093222895
About NPI 1356939870
Stephanie R. Kennedy-Mallum, MSN, APN, FNP-BC's National Provider Identifier is 1356939870, issued on Jan 10, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Skokie, IL. The record was last updated on Jun 29, 2021.