Kelsey Jane Fernandez, L. AC.- NMD
Individual provider Active NPI Acupuncturist · River Forest, IL
NPI 1053530998 · NPPES record last updated Sep 20, 2019
Key facts
- NPI
- 1053530998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 198-000448 (IL)
- Practice address
- 7627 Lake St Ste 201
River Forest, IL 60305-1878 - Phone
- (708) 689-0473
- Fax
- (708) 395-2641
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198-000448 | IL | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198-000448 | IL | Yes |
Addresses
Primary practice location
7627 Lake St Ste 201
River Forest, IL 60305-1878
Mailing address
7627 Lake St Ste 201
River Forest, IL 60305-1878
Phone (708) 769-9929
Other providers in River Forest, IL
- Edith Erber
- Thomas Esthappan II
- Syed F Farooqui
- Rodrigo Lim Farrales Jr.
- Alejandro Miguel Fernandez
- Kimberly Fields
- Dominique Finley
- Brenda Leonor Flores
- Irene Foley
- Guillermo Font
All providers in River Forest, IL · Acupuncturist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.