Provider Demographics
NPI:1063742963
Name:KELLER, MARGARET C (APN-CNP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:C
Last Name:KELLER
Suffix:
Gender:F
Credentials:APN-CNP
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:C
Other - Last Name:CORR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN-CNP
Mailing Address - Street 1:2180 PFINGSTEN RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1339
Mailing Address - Country:US
Mailing Address - Phone:847-503-1000
Mailing Address - Fax:847-503-1100
Practice Address - Street 1:2180 PFINGSTEN RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026
Practice Address - Country:US
Practice Address - Phone:847-503-1000
Practice Address - Fax:847-503-1100
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041355500163W00000X
IL209007799363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse