Individual provider · Type 1 NPI

Kelly Lydon, APN-CNP

Nurse Practitioner · Elk Grove Village, IL

NPI number 1891308060 Active

Practice location

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361

Mailing address

255 N Addison Ave Apt 439
Elmhurst, IL 60126-1629

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209021740 (IL)
Family Nurse Practitioner 363LF0000X209.02174 (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…

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About NPI 1891308060

Kelly Lydon, APN-CNP's National Provider Identifier is 1891308060, issued on Aug 27, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elk Grove Village, IL. The record was last updated on Apr 10, 2026.