Individual
CHRISTOPHER MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1611 W HARRISON ST STE 107, CHICAGO, IL 60612-4861
(312) 432-2513
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024300
IL
Other
Enumeration date
05/21/2019
Last updated
05/28/2019
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