Individual provider · Type 1 NPI

Carly Manley

Family Nurse Practitioner · Crystal Lake, IL

NPI number 1669244489 Active

Practice location

525 E Congress Pkwy
Crystal Lake, IL 60014-6245

Fax (815) 455-2654

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 27750 W Highway 22 Ste 240, Barrington, IL 60010-1924 · (847) 842-7540

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041.486742 (IL)
Family Nurse Practitioner Primary 363LF0000X209.028716 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1669244489

Carly Manley's National Provider Identifier is 1669244489, issued on Oct 25, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crystal Lake, IL. The record was last updated on Apr 30, 2024.