Individual
KELLIE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 RAVINE WAY STE 200, GLENVIEW, IL 60025-7645
(847) 998-5680
(847) 998-6365
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-138881
IL
Other
Enumeration date
03/27/2013
Last updated
04/03/2020
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