Organization
KELLY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE JOSEPHINE KELLY D.C. (PRESIDENT)
(773) 251-4006
Entity
Organization
Contact information
Practice address
4223 N LINCOLN AVE, CHICAGO, IL 60618-2901
(773) 251-4006
(773) 634-8272
Mailing address
4223 N LINCOLN AVE, CHICAGO, IL 60618-2901
(773) 251-4006
(773) 634-8272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011438
IL
Other
Enumeration date
10/21/2009
Last updated
01/18/2010
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