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Active NPI 1265525760 Individual Practitioner Female Practitioner

Kelly Ann Dewolfe , APN

Nurse Practitioner • La Grange, IL

Professional Overview & Biography Verified Profile Summary

Kelly Dewolfe, APN is a registered healthcare professional specializing in Nurse Practitioner in La Grange, IL. Practice services are available at 47 6TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

47 6th Ave

La Grange, IL 605252499

Telephone 7087836900
Associated Practice Facility / Clinic
🏢 Live Well Counseling Facility NPI 1609271204

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in La Grange, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
6 Specialists

Practicing in La Grange, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209006192

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1124220314

Licensed Clinical Social Worker

Dr. Casey Miller , DC

Chiropractor - Rehabilitation

NPI 1215290598

Doctor of Chiropractic

Dr. Alexander Soneru , MD

Orthopaedic Surgery - Hand Surgery

NPI 1558656033

Doctor of Medicine (M.D.)

Alefiyah Lindo , LCSW

Social Worker - Clinical

NPI 1649481839

Licensed Clinical Social Worker

Dr. Robert Passovoy , MD

Internal Medicine

NPI 1841229408

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2015

Registered at 47 6TH AVE, LA GRANGE, IL 605252499 (Tel: 7087836900)

📍
Updated Business Mailing Address June 04, 2015

Registered at 1243 W MELROSE ST, CHICAGO, IL 606573217 (Tel: 4144672056)

👤
Provider Name / Credentials Updated June 04, 2015

Recorded as KELLY DEWOLFE, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2015

Nurse Practitioner (License #209006192 in IL)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265525760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: June 04, 2015
Sole Proprietor: Yes

Mailing Address

1243 W Melrose St

Chicago, IL 606573217

Phone: 4144672056

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.