Individual
JOHN JOSEPH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 S NAPERVILLE RD STE 100, WHEATON, IL 60189-5855
(630) 690-7300
Mailing address
1725 S NAPERVILLE RD STE 100, WHEATON, IL 60189-5855
(630) 690-7300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.159815
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2019
Last updated
04/07/2025
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