Individual
MR. MICHAEL DAVID KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
132 S RIDGE AVE, UNIT B, BLOOMINGDALE, IL 60108-1216
(630) 893-7313
(630) 893-7453
Mailing address
160 S BLOOMINGDALE RD, STE D, BLOOMINGDALE, IL 60108-1455
(630) 893-7313
(630) 893-7453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006619
IL
Other
Enumeration date
11/01/2006
Last updated
12/06/2019
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