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Individual

MRS. KELLIE ANN SOLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DT

Contact information

Practice address
1406 FOX HOUND TRL, BEECHER, IL 60401-5106
(708) 231-6096
(708) 231-6099
Mailing address
1406 FOX HOUND TRL, BEECHER, IL 60401-5106
(708) 231-6096
(708) 231-6099

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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