Healthcare Provider Details

I. General information

NPI: 1356261739
Provider Name (Legal Business Name): ANNABELLA C. KELLY APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNABELLA CALABRESE KRIESCHER

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 N MILL ST STE 100
NAPERVILLE IL
60563-2047
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-646-8000
  • Fax: 630-646-8007
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209034758
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209034758
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: