NPI 1003706912

Kaelyn Carroll, RNCNM

Practitioner Advanced Practice Midwife Chicago, IL

Practice location

Address: 966 W 21st St, Chicago, IL 60608-4511
Phone: (773) 254-1400

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 209033074 (IL)

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Registry record

NPI: 1003706912
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2025
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.