Kelly Kathleen Forster Ivy is a Lake Forest, Illinois based nurse practitioner with 12 years of experience in . She completed her graduation in 2012. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly Kathleen Forster Ivy is 277001068 in Illinois. Her current practice location is 900 N Westmoreland Rd Ste 112, Lake Forest. Patients can reach her at 847-535-7057 or can fax her at 847-615-2260. Kelly Kathleen Forster Ivy is CNM, WHNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1649514316. Kelly Kathleen Forster Ivy has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly Kathleen Forster Ivy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelly Kathleen Forster Ivy
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
CNM, WHNP-BC
Experience:
12+ years
Medical School Attended:
Other
Graduation Year:
2012
Accepts Medicare Assignment:
Yes
Practice Address:
900 N Westmoreland Rd Ste 112, Lake Forest, Illinois, 60045
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4284873563
Enrollment ID:
I20130617000733
NPI Number:
1649514316
NPI Enumeration Date:
19 Nov, 2012
NPI Last Update On:
05 Aug, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Kathleen Forster Ivy are as mentioned below.
License Number
Specialization
State
Status
277001068
Illinois
Primary
209009824
Advanced Practice Midwife
Illinois
Secondary
041369474
Registered Nurse
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140242)
Winfield, IL
Acute Care Hospital
(140116)
Mchenry, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelly Kathleen Forster Ivy is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Central Dupage Physician Group (5890696231)
1039
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Kathleen Forster Ivy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
209010141
Other
Illinois
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly Kathleen Forster Ivy 900 N Westmoreland Rd Ste 112, Lake Forest, Illinois
Zip:
60045
Phone Number:
847-535-7057
Fax Number:
847-615-2260
Patients can reach Kelly Kathleen Forster Ivy at 900 N Westmoreland Rd Ste 112, Lake Forest, Illinois or can call to book an appointment on 847-535-7057.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.