Individual
KELLY MARIE CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20060 GOVERNORS DR STE 300, OLYMPIA FIELDS, IL 60461-1099
(708) 283-2600
(708) 833-7248
Mailing address
20060 GOVERNORS DR STE 300, OLYMPIA FIELDS, IL 60461-1099
(708) 283-2600
(708) 833-7248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002871
IL
Other
Enumeration date
11/21/2006
Last updated
12/23/2021
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