Organization
KELSEY & JO ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENRY KELSEY D.D.S., M.S. (PRESEIDENT)
(847) 831-1100
Entity
Organization
Contact information
Practice address
332 SKOKIE VALLEY RD, SUITE # 222, HIGHLAND PARK, IL 60035-4415
(847) 831-1100
Mailing address
332 SKOKIE VALLEY RD, SUITE # 222, HIGHLAND PARK, IL 60035-4415
(847) 831-1100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060006833
IL
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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