Individual
MRS. ELIZABETH PHILLIPS KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 W LAKE STREET, SUITE 203, HANOVER PARK, IL 60133
(630) 830-5926
Mailing address
225 N LOMBARD AVE, OAK PARK, IL 60302-2503
(708) 660-9239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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