# MARY L. KELLY, D.O., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497903314
- **Authorized official:** MARY L. L KELLY D.O. (PRESIDENT)
- **Authorized official phone:** (708) 848-0080

## Contact information

- **Practice address:** 7319 NORTH AVE, RIVER FOREST, IL 60305-1220
- **Practice address phone:** (708) 848-0040
- **Practice address fax:** (708) 848-2931
- **Mailing address:** 7319 NORTH AVE, RIVER FOREST, IL 60305-1220
- **Mailing address phone:** (708) 848-0040
- **Mailing address fax:** (708) 848-2931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036077560 | IL | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 09/04/2008