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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE R KENNEDY-MALLUM, MSN, APN, FNP-BC

Active

STEPHANIE R KENNEDY-MALLUM, MSN, APN, FNP-BC is a Nurse Practitioner healthcare provider located in SKOKIE, Illinois. NPI 1356939870 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SKOKIE, IL

Registration Details

NPI Number
1356939870
Provider Type
Individual
Gender
Female
NPI Issued
Jan 10, 2021 (5.5944359178551 yrs)
Last Updated
Jun 29, 2021
License
209022352 (IL)

Practice Information

Address
9977 WOODS DR # 100
SKOKIE, IL, 600771057
Browse IL providers · Browse ZIP 60077
Phone
2243642273
Fax
8476638290
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in SKOKIE, IL

Name Credential NPI
MARGARET MARY SULLIVAN APN-CNP 1821016130
MS. RACHEL L. LYONS APNP, FNP 1174657746
TARA E TOBIN APN-CNP 1649487877
NELYA STESAL N.P 1841408515
ANTOINETTE V AHR 1013199926
KATHI CORRAL ARNP 1891943007
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.