Individual
DANIEL M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1214 W LOYOLA AVE, CHICAGO, IL 60626-5102
(773) 274-1769
Mailing address
1214 W LOYOLA AVE, CHICAGO, IL 60626-5102
(773) 274-1769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.026797
IL
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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