Individual
DR. KELLY MATTHEW FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7 BLANCHARD CIR, SUITE 201, WHEATON, IL 60189-2039
(630) 653-2300
Mailing address
7 BLANCHARD CIR, SUITE 201, WHEATON, IL 60189-2039
(630) 653-2300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007370
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215643
BLUE CROSS
IL
Enumeration date
04/17/2006
Last updated
08/05/2008
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