Individual
KELLY WHIRITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4220 W 95TH ST, SUITE 200, OAK LAWN, IL 60453-2793
(708) 398-0273
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005968
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700824455
NPI FOR ADVOCATE MEDICAL GROUP
IL
Enumeration date
10/12/2016
Last updated
05/02/2022
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