Kelly Sauer, FNP-BC
Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).
NPI number1982140661
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1982140661
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly Sauer
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2017
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 277002668 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209015182 | IL |
Practice location
4829 S Cottage Grove AveChicago, IL 60615-1600
Phone 312-337-1073
Mailing address
1276 N Clybourn AveChicago, IL 60610-2089
Phone 312-216-8020
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