Individual
MCKENZY MARIE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 946-5200
Mailing address
4101 NAUTILUS CT APT B, GREAT LAKES, IL 60088-1120
(847) 809-5550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150106848
IL
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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