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KELLY A SKINNER RN, MSN, FNP-BC
NPI 1679113062
Nurse Practitioner - Family in Chicago, IL

Active since January 14, 2020
936 E 93RD ST, CHICAGO, IL 60619(773) 731-5395(773) 336-5545 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelly A Skinner Rn, Msn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A SKINNER RN, MSN, FNP-BC (NPI 1679113062) is an individual family provider in Chicago, Illinois, licensed in Illinois (209019575) and active in the NPI registry since January 2020. She maintains a secondary practice location in Munster.

NPPES Registry Identity

NPI1679113062
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY A SKINNERCredential: RN, MSN, FNP-BC
Location Address936 E 93RD STChicago, IL 60619-7814
Mailing Address936 E 93rd StChicago, IL 60619-7814 · (773) 731-5395 · Fax (773) 336-5545
Phone(773) 731-5395
Fax(773) 336-5545
Sole ProprietorNo
Enumeration DateJanuary 14, 2020
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1679113062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209019575
936 E 93RD ST, Chicago, IL 60619
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Secondary Practice Location 1

Location 19335 Calumet Ave Ste CMunster, IN 46321-4176 · Phone (219) 836-9200

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DREXEL COUNSELING SERVICES, INC.
Clinical Medical Laboratory
936 E 93RD ST
CHICAGO, IL 60619
Cook County (773) 731-5395
DREXEL COUNSELING SERVICES, INC.
Clinic/Center (Methadone)
936 E 93RD ST
CHICAGO, IL 60619
Cook County (773) 550-1696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Skinner's NPI number?

The NPI number for Kelly Skinner is 1679113062. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Kelly Skinner located?

Kelly Skinner practices at 936 E 93rd St, Chicago, IL 60619. The listed phone number is (773) 731-5395.

What is Kelly Skinner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Skinner was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.