Individual
KELLIE KONSTANTINIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
175 RAVEN LN, BLOOMINGDALE, IL 60108-1450
(630) 973-3152
Mailing address
175 RAVEN LN, BLOOMINGDALE, IL 60108-1450
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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