Organization
COMMUNITY PAIN CONSULTANTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL KELLY M.D. (OWNER)
(815) 932-7146
Entity
Organization
Contact information
Practice address
555 W COURT ST, SUITE 100, KANKAKEE, IL 60901-3664
(815) 932-7246
(815) 932-7307
Mailing address
555 W COURT ST, SUITE 100, KANKAKEE, IL 60901-3664
(815) 932-7246
(815) 932-7307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036065101
IL
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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