Kelly Tavormina, is a
Registered Nurse based in Merrionette Park, Illinois. Kelly Tavormina is licensed to practice in Illinois (license number 041374051) and her current practice location is
11560 S Kedzie Ave Ste 200, Merrionette Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 974-5800.
NPI number for Kelly Tavormina is 1770432072 and her current mailing address is 17052 Lockwood Ave, Tinley Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770432072.
Provider's Profile
| Full Name | Kelly Tavormina |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
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| Location | 11560 S Kedzie Ave Ste 200, Merrionette Park, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770432072
- Provider Enumeration Date: 01/28/2026
- Last Update Date: 01/28/2026
Medical Identifiers
Medical identifiers for Kelly Tavormina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770432072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 041374051 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Tavormina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelly Tavormina, 17052 Lockwood Ave, Tinley Park, IL 60477-3104 Ph: () - | Kelly Tavormina, 11560 S Kedzie Ave Ste 200, Merrionette Park, IL 60803-4517 Ph: (708) 974-5800 |
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