Doctor profile · Federal record
Dr. Kelly Grannis, APRN
Nurse Practitioner · Evanston, IL
- NPI 1821646639
- 7 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2650 Ridge Ave
Evanston, IL 602011700
(847) 570-2000 - Mailing address
-
60 Revere Dr Ste 100
Northbrook, IL 600621590
Credentials & registration
- NPI registered
- August 2019 — 7 yrs on file
- Profile last updated
- July 2, 2024
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Illinois #209019940
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821646639. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$26
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, INC. | 1 | $25.66 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Grannis's medical specialty?
Dr. Kelly Grannis practices Nurse Practitioner in Evanston, IL.
Where does Dr. Kelly Grannis practice?
Dr. Kelly Grannis practices at 2650 Ridge Ave, Evanston, IL 602011700. Office phone: 8475702000.
What is Dr. Kelly Grannis's NPI?
Dr. Kelly Grannis's National Provider Identifier (NPI) is 1821646639, issued by NPPES.