Individual
MRS. LACEE A KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 E SCHAUMBURG RD STE 101, SCHAUMBURG, IL 60194-3548
(847) 252-6090
Mailing address
25 E SCHAUMBURG RD STE 101, SCHAUMBURG, IL 60194-3548
(847) 252-6090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004126
IL
Other
Enumeration date
10/14/2011
Last updated
05/16/2023
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