Individual
DR. JEANNETTE SUZANNE CODERE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
180 N MICHIGAN AVE STE 1605, CHICAGO, IL 60601-7478
(312) 994-3000
(612) 201-1202
Mailing address
180 N MICHIGAN AVE STE 1605, CHICAGO, IL 60601-7478
(312) 994-3000
(612) 201-1202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125063705
IL
Other
Enumeration date
06/13/2013
Last updated
09/12/2019
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