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

Kelly Marie Jordan-Licht

Individual provider Registered Nurse · NPI 1114422573

Kelly Marie Jordan-Licht is a Registered Nurse in Yorkville, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018

Practice location Address checks out

811 W John St # 126
Yorkville, IL 60560-9249
Phone: (630) 553-8048
Fax: (630) 553-9604
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041317669 (IL)

Record details

NPI number1114422573
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESMarch 28, 2018

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