MEDICARE: DR. KELLY RAE LESEMANN D.C.

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	363L00000X	Nurse Practitioner	27700113	IL
2	111N00000X	Chiropractor	038011590	IL

General Provider Information

NPI Number	:	1245546076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLY RAE LESEMANN D.C.

Provider Business Mailing Address
First Line	:	107 W JEFFERSON ST
Second Line	:
City	:	MORRIS
State	:	IL
Zip	:	60450-2128
Country	:	US
Telephone Number	:	815-942-8399
Fax Number	:	815-942-8388

Provider Business Practice Location Address
First Line	:	107 W JEFFERSON ST
Second Line	:
City	:	MORRIS
State	:	IL
Zip	:	60450-2128
Country	:	US
Telephone Number	:	815-942-8399
Fax Number	:	815-942-8388

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

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	03/26/2021

Similar Medicare Providers

1447396361 — JOHN B. ROTH JR. M.D.
Practice Location Address:

107 W JEFFERSON ST
MORRIS, IL
60450-2128

Practice Phone: 815-942-0683
Practice Fax:

1699951293 — MORRIS MEDICAL CENTER, LTD.
Practice Location Address:

107 W JEFFERSON ST
MORRIS, IL
60450-2128

Practice Phone: 815-942-0683
Practice Fax: 815-942-5624

1831481712 — ERIK K MURASKAS MD LTD
Practice Location Address:

107 W JEFFERSON ST
MORRIS, IL
60450-2128

Practice Phone: 815-942-0685
Practice Fax:

1548294309 — KROGER CO OF MICHIGAN
Practice Location Address:

7188 N SAGINAW RD
MOUNT MORRIS, MI
48458-2128

Practice Phone: 810-670-2840
Practice Fax: 810-687-6263

1972149854 — VARINDER MOHAN KHINDRI
Practice Location Address:

7188 N SAGINAW RD
MOUNT MORRIS, MI
48458-2128

Practice Phone: 810-687-6263
Practice Fax:

1609725563 — HEART OF THE FAMILY HEALTHCARE, PLLC
Practice Location Address:

3205 W SOUTHMOR RD
MORRIS, IL
60450-8197

Practice Phone: 815-326-4858
Practice Fax: 815-205-4696

Directions to “ DR. KELLY RAE LESEMANN D.C.” 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.