Search › Illinois › 363LF0000X
Tracie Kelly, APRN
NPI 1578197513 · on the registry since 2020
Practice
- Address
- 1401 E 12th St
Mendota, IL 61342 - Phone
- (815) 539-7461
- Organisation at this address
- National Pain Clinic, Llc
Mendota Community Hospital
Mendota Community Hospital
Mendota Community Hospital
Mendota Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-22
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