MEDICARE: MRS. KELSEY JANE FERNANDEZ L. AC.- NMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	198-000448	IL

General Provider Information

NPI Number	:	1053530998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KELSEY JANE FERNANDEZ L. AC.- NMD

Provider Business Mailing Address
First Line	:	7627 LAKE ST STE 201
Second Line	:
City	:	RIVER FOREST
State	:	IL
Zip	:	60305-1878
Country	:	US
Telephone Number	:	708-769-9929
Fax Number	:	708-395-2641

Provider Business Practice Location Address
First Line	:	7627 LAKE ST STE 201
Second Line	:
City	:	RIVER FOREST
State	:	IL
Zip	:	60305-1878
Country	:	US
Telephone Number	:	708-689-0473
Fax Number	:	708-395-2641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	09/20/2019

Similar Medicare Providers

1508859521 — DR. THOMAS J ROSTAFINSKI PHD
Practice Location Address:

7627 LAKE ST STE 215
RIVER FOREST, IL
60305-1878

Practice Phone: 708-848-1611
Practice Fax: 708-848-1436

1215918198 — DR. ROSS ANDREW FRASER D.D.S.
Practice Location Address:

7627 LAKE ST , SUITE 200
RIVER FOREST, IL
60305-1878

Practice Phone: 708-366-6001
Practice Fax: 708-366-6001

1811948722 — DR. JAMES PATRAS MD
Practice Location Address:

7627 WEST LAKE ST , SUITE 212
RIVER FOREST, IL
60305-1878

Practice Phone: 708-366-6130
Practice Fax:

1508931478 — JFSW, INC.
Practice Location Address:

7627 LAKE ST STE 213
RIVER FOREST, IL
60305-1878

Practice Phone: 708-488-8000
Practice Fax:

1790982486 — ROSS A. FRASER, DDS PC
Practice Location Address:

7627 LAKE ST , SUITE 200
RIVER FOREST, IL
60305-1878

Practice Phone: 708-366-6001
Practice Fax: 708-366-6076

1508048075 — MS. WENDY R. LAUTER LCPC
Practice Location Address:

7627 LAKE ST , SUITE 202
RIVER FOREST, IL
60305-1878

Practice Phone: 708-488-8000
Practice Fax:

Directions to “ MRS. KELSEY JANE FERNANDEZ L. AC.- NMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.