Individual
KELLY FATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4147 N RAVENSWOOD AVE, CHICAGO, IL 60613-2472
(630) 464-3440
Mailing address
1251 W ARGYLE ST, CHICAGO, IL 60640-3508
(630) 464-0344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/06/2017
Last updated
08/02/2024
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