IndividualActive
Kevin Kissane, ACNP-BC
NPI 1679933527 · Acute Care Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1679933527
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209-002655 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone: (312) 942-5878
Fax: (312) 942-8021
Approximate (ZIP-level) locationGet directions
Mailing address
3654 S Union Ave
Chicago, IL 60609-1647
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2016-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.