Individual
AMY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 E MADISON ST # 1421, CHICAGO, IL 60603
(847) 910-2142
Mailing address
2248 N KENMORE AVE, CHICAGO, IL 60614-3505
(847) 910-2142
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
05/25/2018
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