IndividualActive
Carlyn Newell
NPI 1649998139 · Gerontology Clinical Nurse Specialist · Olympia Fields, IL
Provider details
- NPI number
- 1649998139
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209025274 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3800 W 203rd St Ste 202
Olympia Fields, IL 60461-1185
Phone: (708) 852-2699
Fax: (708) 679-2223
Approximate (ZIP-level) locationGet directions
Mailing address
35318 Eagle Way
Chicago, IL 60678-1353
Registry dates
- Enumerated
- 2022-08-19
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.