Rana Kennelly, NP
Nurse Practitioner in Chicago, IL. Individual provider (NPI-1).
NPI number1164215869
StatusActive
Last updated in NPPESMay 26, 2025
Details
- NPI
- 1164215869
- Entity type
- Individual (NPI-1)
- Name
- Rana Kennelly
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2025
- Certification date
- May 26, 2025
- Last updated
- May 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209029985 | IL | Yes |
Practice location
1142 W Madison St Ste 306Chicago, IL 60607-2191
Phone 312-624-9971
Mailing address
1124 W Adams St Unit 2eChicago, IL 60607-0901
Phone 312-731-5585
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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