Individual
STEPHEN E KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
770 N LASALLE STREET, CHICAGO, IL 60654
(312) 321-0004
(312) 379-9576
Mailing address
770 N LASALLE STREET, CHICAGO, IL 60654
(312) 321-0004
(312) 379-9576
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.020378
IL
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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