Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly A Peterson

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1255965208

Kelly A Peterson is a Critical Care Neonatal Nurse Practitioner in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 227-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence 209.020968 (IL)

Record details

NPI number1255965208
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 28, 2020
Last updated in NPPESFebruary 28, 2020
Certification dateFebruary 28, 2020

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