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Contact Information

KELSEY J FERNANDEZ, L. AC.- NMD
7627 LAKE ST STE 201
RIVER FOREST, IL60305-1878
 Phone: 708-689-0473
 Fax: 708-395-2641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for KELSEY J FERNANDEZ · (Female)

NPI Number 1053530998
Status Active
Credentials L. AC.- NMD
Entity Individual
Enumeration date 04/25/2007
Last updated 09/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 198-000448
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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