Individual
DR. RYAN MATTHEW KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST STE 855, CHICAGO, IL 60612-5113
(312) 942-6644
Mailing address
1725 W HARRISON ST STE 855, CHICAGO, IL 60612-5113
(312) 942-6644
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125076112
IL
Other
Enumeration date
06/04/2020
Last updated
08/05/2020
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