Individual provider · Type 1 NPI

Ellen Kennelly, FNP

Family Nurse Practitioner · Lisle, IL

NPI number 1376966333 Active

Practice location

430 Warrenville Rd Ste 230
Lisle, IL 60532-1348

Fax (630) 432-6227

Mailing address

PO Box 713260
Chicago, IL 60677-1260

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209010942 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1376966333

Ellen Kennelly, FNP's National Provider Identifier is 1376966333, issued on Jan 28, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lisle, IL. The record was last updated on Jul 11, 2023.