Individual
DR. KELLY LARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
495 E 1ST ST, COAL CITY, IL 60416-1633
(815) 634-3750
Mailing address
495 E 1ST ST, COAL CITY, IL 60416-1633
(815) 634-3750
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038-007152
IL
Other
Enumeration date
10/02/2005
Last updated
01/06/2011
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