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

Kelly Blanche Allen, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1316635220

Kelly Blanche Allen, NURSEPRACTITIONER is a Nurse Practitioner in Joliet, Illinois. Qualified in 2022, 4 years ago. Practices with Yusuf Salah LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

250 Water Stone Cir
Joliet, IL 60431-8313
Phone: (815) 740-4104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209027148 (IL)

Record details

NPI number1316635220
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Yusuf Salah Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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