Kelly Hundman
Nurse Practitioner, Family in Skokie, IL. Individual provider (NPI-1).
NPI number1366071797
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1366071797
- Entity type
- Individual (NPI-1)
- Name
- Kelly Hundman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2020
- Certification date
- Nov 23, 2021
- Last updated
- Nov 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209-021860 | IL | Yes |
| 163W00000X | Registered Nurse | 041430008 | IL | |
| 363L00000X | Nurse Practitioner | 209.021860 | IL |
Practice location
9977 Woods DrSkokie, IL 60077-1057
Phone 224-364-2273 · Fax 847-663-8290
Mailing address
9977 Woods DrSkokie, IL 60077-1057
Phone 224-364-2273 · Fax 847-663-8290
Other practice locations
3326 N Whipple St
Chicago, IL 60618-5718
Chicago, IL 60618-5718
Phone 708-601-4007
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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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All 68 Family Nurse Practitioner providers in Skokie · All 3,119 providers in Skokie
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