SearchIllinois101YP2500X

Kristen Fanella

NPI 1255114294 · on the registry since 2023

Practice

Address
1205 W Lane Rd
Machesney Park, IL 61115
Phone
(815) 655-7989
Clinicians at this address
9

Additional practice sites

  • 5906 Elaine Dr, Rockford, IL

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
101YM0800X
Sex
Female
Record last updated
2025-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois