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

Michelle Kethcart, APN

Individual provider Nurse Practitioner · NPI 1104392497

Michelle Kethcart, APN is a Nurse Practitioner in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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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 209018213 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209.018213 (IL)

Record details

NPI number1104392497
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedOctober 15, 2018
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

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