Kelly Tavormina

NPI 1770432072 · on the registry since 2026

Practice

Address: 11560 S Kedzie Ave Ste 200
Merrionette Park, IL 60803
Phone: (708) 974-5800
Fax: (708) 371-0466
Organisation at this address: Premier Vascular, Llc
Metropolitan Family Services
Premier Cardiac Surgery Center, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 68

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-28

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