Individual
KENNETH GEORGE KELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 MILWAUKEE AVE, GLENVIEW, IL 60025-2425
(847) 294-5490
(847) 294-5496
Mailing address
1255 MILWAUKEE AVE, GLENVIEW, IL 60025-2425
(847) 294-5490
(847) 294-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL036084093
IL
Other
Enumeration date
07/02/2006
Last updated
07/31/2007
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