Individual
DR. KELLY JOY VALIGNOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3001 GREEN BAY ROAD, NORTH CHICAGO, IL 60064
(224) 610-3745
Mailing address
3001 GREEN BAY ROAD, NORTH CHICAGO, IL 60064
(224) 610-3745
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036146541
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
036146541
IL
Other
Enumeration date
03/21/2014
Last updated
09/12/2022
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