Individual
KELLY KIRLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
4555 N LINCOLN AVE, CHICAGO, IL 60625-2102
(773) 273-6734
Mailing address
1738 W ALTGELD ST, 1R, CHICAGO, IL 60614-8228
(313) 530-9902
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001260
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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