| Joan Kelley, | |
|
309 Rivers Edge Dr, Minooka, IL 60447-9397 | |
| (815) 735-1408 | |
| Not Available |
| Full Name | Joan Kelley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 309 Rivers Edge Dr, Minooka, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205210143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209012858 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Kelley, 309 Rivers Edge Dr, Minooka, IL 60447-9397 Ph: (815) 735-1408 | Joan Kelley, 309 Rivers Edge Dr, Minooka, IL 60447-9397 Ph: (815) 735-1408 |
Jennifer Lynn Truhlar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 Sherborn Ct S, Minooka, IL 60447 Phone: 815-549-6335 | |
Audrey L Mascitti, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 266 Blazing Star Dr, Minooka, IL 60447 Phone: 708-966-9465 Fax: 708-866-2038 | |
Ashley Nicole Salerno, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 203 West Mondamin Street, Minooka, IL 60447 Phone: 708-717-3509 |