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

Mrs. Kathleen Lally, NP

Individual provider Family Nurse Practitioner · NPI 1508365842

Mrs. Kathleen Lally, NP is a Nurse Practitioner in Normal, Illinois. Qualified in 2017, 9 years ago. Practices with Midwest Allergy Sinus Asthma SC, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2010 Jacobssen Dr
Normal, IL 61761-6280
Phone: (309) 452-0995
Fax: (309) 862-0961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2151 W White Oaks Dr, Springfield, IL 62704-6495 — (217) 717-4404

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209017197 (IL)

Record details

NPI number1508365842
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 1, 2018
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Midwest Allergy Sinus Asthma Sc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Normal