Individual
DR. KATHY JOHNSON NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST, GALTER 3-150, CHICAGO, IL 60611-2908
(312) 695-1118
Mailing address
5454 N FRANCISCO AVE, CHICAGO, IL 60625-3932
(773) 769-0784
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036-068543
IL
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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