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Individual

DR. LEO KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
450 W IL ROUTE 22, BARRINGTON, IL 60010-7509
(847) 842-4000
(847) 842-4193
Mailing address
3880 SALEM LAKE DR, F, LONG GROVE, IL 60047-5292
(847) 235-3072
(847) 719-2265

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IL

Other

Enumeration date
12/09/2006
Last updated
07/09/2007
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