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

KEELY E PEDERSEN, PA-C

Active

KEELY E PEDERSEN, PA-C is a Physician Assistant healthcare provider located in LAKE FOREST, Illinois. NPI 1619228624 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKE FOREST, IL

Registration Details

NPI Number
1619228624
Provider Type
Individual
Gender
Female
NPI Issued
Oct 1, 2012 (13.852249577096 yrs)
Last Updated
Nov 11, 2024
License
085004520 (IL)

Practice Information

Address
1000 N WESTMORELAND RD
LAKE FOREST, IL, 600451658
Browse IL providers · Browse ZIP 60045
Phone
8475356150
Fax
8475357801
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAKE FOREST, IL

Name Credential NPI
KARLA E STEWART PA-C 1598746521
LAURIE J. FARRELL PA-C 1588792782
KATHERINE L. KOVACIC PA-C 1538386149
JAKLYN B LYNCH PA-C 1689981029
MISS EMILY SHERBIN PA-C 1467769687
MISS EMILY BETH FRIEDMAN PA-C 1417232125
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.