Individual provider · Type 1 NPI

Kelly Larsen

Registered Nurse · Chicago, IL

NPI number 1508732363 Active

Practice location

225 E Chicago Ave
Chicago, IL 60611-2991

Mailing address

4142 N Kenmore Ave Apt 2
Chicago, IL 60613-5420

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041469795 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1508732363

Kelly Larsen's National Provider Identifier is 1508732363, issued on Oct 16, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2025.