Individual
MS. KELLY MARIE PLATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT, MS
Contact information
Practice address
6046 W 63RD ST, CHICAGO, IL 60638-4342
(773) 586-8360
(630) 455-9481
Mailing address
1409 W ORCHARD PL, ARLINGTON HEIGHTS, IL 60005-2463
(224) 406-4222
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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