Individual
STACEY L MCKELVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160
Mailing address
200 FOX GLEN CT, BARRINGTON, IL 60010-1809
(847) 382-7165
(847) 713-8160
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23379
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036136563
STATE LICENSE
IL
Enumeration date
05/10/2006
Last updated
03/19/2015
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